Individual
CHRYL SMITH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 W FELICIANA AVE, TALULLAH, LA 71282
(318) 435-7715
Mailing address
1705 W FELICIANA AVENUE, TALULLAH, LA 71282
(318) 435-7715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
LA
Enumeration date
08/21/2017
Last updated
08/21/2017
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