Individual
CHASITY RENEE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(318) 625-7050
Mailing address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8145
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8145
LAST 4
LA
Enumeration date
02/16/2023
Last updated
02/16/2023
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