Individual
CHARLES NATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2504 COLONIAL WAY, ZACHARY, LA 70791
(318) 537-1989
Mailing address
2504 COLONIAL WAY, ZACHARY, LA 70791-2874
(318) 537-1989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
02/11/2017
Last updated
05/19/2018
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