Individual
CHAD JAMESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 WOODLAKE DR, PINEVILLE, LA 71360-4762
(318) 614-1989
Mailing address
127 WOODLAKE DR, PINEVILLE, LA 71360-4762
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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