Individual
DR. CHANTRELLE DERON VARNADO-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC-S., NCC
Contact information
Practice address
906 EAST 1ST STRET, THIBODAUX, LA 70310-5848
(985) 448-4349
(985) 448-4435
Mailing address
PO BOX 2075 DEPT OF PSYCHOLOGY COUNSELING & FAMILY, THIBODAUX, LA 70310-0001
(985) 448-4349
(854) 484-4435
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3895
LA
Other
Enumeration date
12/21/2011
Last updated
01/07/2019
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