Most Relevant Information
Provider Data
| NPI Number: | 1003486903 |
| Provider Name: | CHALEI RAYVEON KNOX |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 171M00000X |
Most Important Dates
| Enumeration Date: | 07/01/2021 |
| Last Updated: | 05/20/2022 |
Provider Practice Location
410 E ASKEW ST
TALLULAH
LA
712823706
Practice Location Phone/Fax
| Phone: | 3185742320 |
| Fax: |
Provider Mailing Location
410 E ASKEW ST
TALLULAH
LA
712823706
Provider Mailing Phone/Fax
| Phone: | 3185742320 |
| Fax: |