Provider Demographics
NPI:1841739216
Name:PARKER, CHONTEL JE-ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHONTEL
Middle Name:JE-ANNE
Last Name:PARKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58026 FORT ST
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-3222
Mailing Address - Country:US
Mailing Address - Phone:225-238-5226
Mailing Address - Fax:
Practice Address - Street 1:58026 FORT ST
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-3222
Practice Address - Country:US
Practice Address - Phone:225-238-5226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-18
Last Update Date:2017-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health