Crystal Petit
Case Manager/Care Coordinator in Slidell, LA. Individual provider (NPI-1).
NPI number1124635289
StatusActive
Last updated in NPPESSep 23, 2020
Details
- NPI
- 1124635289
- Entity type
- Individual (NPI-1)
- Name
- Crystal Petit
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2020
- Certification date
- Sep 23, 2020
- Last updated
- Sep 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 14897 | LA | Yes |
Practice location
132 W Howze Beach RdSlidell, LA 70458-8501
Phone 985-445-1800 · Fax 985-445-1802
Mailing address
132 W Howze Beach RdSlidell, LA 70458-8501
Phone 985-445-1800 · Fax 985-445-1802
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All 203 Case Manager/Care Coordinator providers in Slidell · All 2,622 providers in Slidell
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