Individual
MISS CHANEL D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 SAINT BERNARD AVE, NEW ORLEANS, LA 70119-1613
(504) 943-1857
Mailing address
1739 LIZARDI ST, NEW ORLEANS, LA 70117-3227
(504) 258-7042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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