Individual
AMAN CHABKOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 PUJO ST STE A, LAKE CHARLES, LA 70601-4378
(337) 436-6622
Mailing address
700 PUJO ST STE A, LAKE CHARLES, LA 70601-4378
(337) 436-6622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
12/18/2019
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