Individual
CHAD CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5640 READ BLVD, NEW ORLEANS, LA 70127-3140
(504) 245-2440
Mailing address
4716 WRIGHT RD, NEW ORLEANS, LA 70128-3041
(214) 264-4601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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