Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 3526 | LA |
NPI | 1003583089 |
---|---|
Provider Name | Chi Joseph Franklin |
First Address | Zachary, LA 70791-2964 |
Second Address | Baton Rouge, LA 70806-3920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2021 |
Last Update Date | 26/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3526 | COUNSELOR PROFESSIONAL (01) | LA |