Individual
MS. DESIRAE CHIASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
412 SUPERCHARGE DR, THIBODAUX, LA 70301
(985) 859-9777
Mailing address
412 SUPERCHARGE DR, THIBODAUX, LA 70301-6141
(985) 859-9777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6686
LA
Other
Enumeration date
10/28/2015
Last updated
09/26/2019
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