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IDA ANDING CHAUVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
622 BURGESSVILLE RD, RUSTON, LA 71270-5154
(318) 224-7223
(318) 415-1004
Mailing address
243 HIGHWAY 3005, RUSTON, LA 71270-1074
(318) 278-7610

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2401
LA
101YM0800X
Mental Health Counselor
2401
LA
101YP2500X
Professional Counselor
2401
LA
106H00000X
Marriage & Family Therapist
MFT278
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3076535
LA
Enumeration date
11/08/2013
Last updated
04/29/2026
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