Individual
CHARMETTA KAY NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 JONES ST, RAYVILLE, LA 71269-2323
(318) 297-1199
Mailing address
4308 S GRAND ST, MONROE, LA 71202-6322
(318) 297-1199
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010229177
LICENSE
LA
Enumeration date
12/31/2019
Last updated
04/14/2023
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