Individual
JACQUELINE CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 LOUIS PRIMA DR, COVINGTON, LA 70433-5903
(985) 327-5427
Mailing address
60 LOUIS PRIMA DR, COVINGTON, LA 70433-5903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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