Individual
CHALEI RAYVEON KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 E ASKEW ST, TALLULAH, LA 71282-3706
(318) 574-2320
Mailing address
410 E ASKEW ST, TALLULAH, LA 71282-3706
(318) 574-2320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171M00000X
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
07/01/2021
Last updated
05/20/2022
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