Individual
HEATHER ELAINE CHAFFOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
2829 4TH AVE STE 200, LAKE CHARLES, LA 70601-7834
(337) 433-8281
(337) 433-7938
Mailing address
2829 4TH AVE STE 200, LAKE CHARLES, LA 70601-7834
(337) 433-8281
(337) 433-7938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4064
LA
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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