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Individual

MISS CHASSIDY KASHUNDA ADDISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
902 C M FAGAN DR, SUITE H, HAMMOND, LA 70403
(985) 542-2223
(985) 542-2206
Mailing address
902 C M FAGAN DR, SUITE H, HAMMOND, LA 70403-6043
(985) 542-2223
(985) 542-2206

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/14/2012
Last updated
06/06/2018
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