Chad Upshaw
NPI #1861212060 in Lacey, Washington
Provider Information
- NPI Number
- 1861212060
- Entity Type
- Individual
- Name
- Chad Upshaw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 12, 2024
- Last Updated
- Dec 13, 2024
Practice Location
- Address
- 673 WOODLAND SQUARE LOOP SE STE 330
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-1066
- Phone
- (415) 710-6689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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