Individual
CHARLI PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CI
Contact information
Practice address
330 E VAUGHN AVE, RUSTON, LA 71270-5928
(318) 533-2660
Mailing address
330 E VAUGHN AVE, RUSTON, LA 71270-5928
(318) 533-2660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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