Individual
CHARLOTTE BERTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., P.L.M.H.C.
Contact information
Practice address
118 N ELM ST, AVOCA, IA 51521-3510
(712) 307-6014
Mailing address
118 N ELM ST, AVOCA, IA 51521-3510
(712) 307-6014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
072723
IA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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