Individual
CHARLES MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1924 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4131
(337) 532-0446
(888) 984-3535
Mailing address
5822 WILLOW BREEZE DR, LAKE CHARLES, LA 70605-3144
(337) 532-0446
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2407
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104531
—
LA
Enumeration date
11/23/2015
Last updated
05/09/2023
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