Individual
MS. CLAIRE THERESA PELLERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., L.M.F.T.
Contact information
Practice address
1624 BANK ST, LAKE CHARLES, LA 70601-6239
(337) 485-9564
(337) 855-0669
Mailing address
1170 WEDGEWOOD DR, LAKE CHARLES, LA 70611-4808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2377
LA
101YP2500X
Professional Counselor
294
LA
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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