Individual
CHANTEL AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3908 HARVEY ST, MONROE, LA 71203
(318) 608-6373
Mailing address
3908 HARVEY ST, MONROE, LA 71203-5742
(318) 608-6373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
08/14/2018
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