Individual
ONDIE CHIPMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 DEVILLE LN, RUSTON, LA 71270-6313
(318) 255-5753
Mailing address
902 DEVILLE LN, RUSTON, LA 71270-6313
(318) 255-5753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5432
LA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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