Individual
BREANNA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 LAUREN DR, SLIDELL, LA 70460-3950
(504) 295-8337
Mailing address
6417 LAUREN DR, SLIDELL, LA 70460-3950
(504) 295-8337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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