Individual
CHANTELL MARIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2439 MANHATTAN BLVD STE 207, HARVEY, LA 70058-5361
(504) 364-8949
Mailing address
2439 MANHATTAN BLVD STE 207, HARVEY, LA 70058-5361
(504) 364-8949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NA
LA
Enumeration date
03/20/2018
Last updated
03/20/2018
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