Individual
CHARENYIA CHARKEIJAH CARMOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6744 HANKS DR, BATON ROUGE, LA 70812-3523
(504) 478-0395
Mailing address
12376 BUCKINGHAM AVE, BATON ROUGE, LA 70815-6766
(504) 478-0395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
010664538
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
05/16/2019
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