Organization
THE WELL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ANDREW YARBOROUGH PSY.D. (PSYCHOLOGIST)
(225) 953-1903
Entity
Organization
Contact information
Practice address
17534 OLD JEFFERSON HWY, SUITE B2, PRAIRIEVILLE, LA 70769-3978
(225) 692-4113
Mailing address
17534 OLD JEFFERSON HWY, SUITE B2, PRAIRIEVILLE, LA 70769-3978
(225) 692-4113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1161
LA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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