Individual
MR. CHESTER CLEM WHITTEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 990-5545
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 990-5545
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5992
LA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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