Provider Demographics
NPI:1710456777
Name:MATTIELLO REYES, CHELSEA (MS, LMFT)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:MATTIELLO REYES
Suffix:
Gender:
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 WINDROW DR UNIT A203
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-6782
Mailing Address - Country:US
Mailing Address - Phone:310-968-8784
Mailing Address - Fax:
Practice Address - Street 1:2445 WINDROW DR UNIT A203
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-6782
Practice Address - Country:US
Practice Address - Phone:310-968-8784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-20
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist