Individual
MR. SAMUEL MAURICE CHESTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7696 PERKINS RD, BATON ROUGE, LA 70810-1006
(225) 505-7650
Mailing address
411 COLONIAL DR, BATON ROUGE, LA 70806-6506
(225) 926-9706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
101YP2500X
Professional Counselor
Primary
6534
LA
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/12/2015
Last updated
08/05/2020
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