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Angela Chiasson Waddell
Peer Specialist in Gray, Louisiana
NPI 1558901058

Angela Chiasson Waddell is a Peer Specialist based in Baton Rouge, LA. Angela Chiasson Waddell practices in Gray, LA. The NPI Number for Angela Chiasson Waddell is 1558901058 and holds a License No. (Louisiana).

The current practice location address for Angela Chiasson Waddell is 300 Robyn St, Gray, LA and can be reached out via phone at 985-859-5266.

Location: 300 Robyn St, Gray, LA, 70806-4803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558901058
Provider Name
Angela Chiasson Waddell
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Robyn St, Gray, LA, 70806-4803
Phone Number
985-859-5266
Fax Number
Provider Enumeration Date
01/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003041054 01 DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
300 Robyn St
City
Gray
State
Louisiana
Zip
70359-4904
Phone Number
985-859-5266
Fax Number
person
Provider Business Mailing Address Details
Address
300 Robyn St
City
Gray
State
Louisiana
Zip
70359-4904
Phone Number
985-859-5266
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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