Kimberly Chachere

Individual provider Active NPI Mental Health Counselor · Amite, LA

NPI 1043660269 · NPPES record last updated Jun 18, 2016

Key facts

NPI
1043660269
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
104 Sassafras St
Amite, LA 70422-3425
Phone
(985) 247-2838
NPI assigned
Jun 18, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

104 Sassafras St
Amite, LA 70422-3425

Mailing address

104 Sassafras St
Amite, LA 70422-3425

Other providers in Amite, LA

All providers in Amite, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.