Individual
MRS. CHARLOTTE MARIE TARELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2750 VIRGINIA PKWY STE 108, MCKINNEY, TX 75071-4970
(972) 542-8144
Mailing address
915 SHOAL CREEK DR, FAIRVIEW, TX 75069-1950
(972) 363-0654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 65419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235152257
INSURANCE COMPANIES
TX
05
—
802008566
—
FL
Enumeration date
07/25/2006
Last updated
10/30/2009
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