Individual
CHANTEL CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2351 ENERGY DR STE 1100, BATON ROUGE, LA 70808-2617
(225) 465-3080
(225) 465-3706
Mailing address
2376 CREEK HOLLOW AVE, ZACHARY, LA 70791-2895
(225) 218-7472
(225) 465-3706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15883
LA
Other
Enumeration date
11/16/2017
Last updated
11/21/2024
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