Individual
CHEVELLA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
269 GLENDELLA DR, AVONDALE, LA 70094
(985) 618-7012
Mailing address
269 GLENDELLA DR, AVONDALE, LA 70094-2519
(985) 618-7012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
12/16/2015
Last updated
06/18/2018
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