Individual
KIMBERLY CHACHERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 SASSAFRAS ST, AMITE, LA 70422-3425
(985) 247-2838
Mailing address
104 SASSAFRAS ST, AMITE, LA 70422-3425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/18/2016
Last updated
06/18/2016
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