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Individual

KEVIEONTA MONIQUE CHESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BT, BS

Contact information

Practice address
4201 N 1-20 SERVICE RD W, METAIRIE, LA 70006
(888) 880-9270
Mailing address
4201 N 1-20 SERVICE RD W, METAIRIE, LA 70006
(888) 880-9270

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/28/2018
Last updated
09/04/2018
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