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Individual

CHRISTINA L CHARETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
951 CARL VINSON PKWY, SUITE 109, CENTERVILLE, GA 31028
(478) 888-6023
Mailing address
951 CARL VINSON PKWY SUITE 109, CENTERVILLE, GA 31028
(478) 888-6023

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003431
GA
103T00000X
Psychologist
3923
NC
103TC0700X
Clinical Psychologist
PSY003431
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY003431
PSYCHOLOGIST LICENSE
Enumeration date
02/12/2020
Last updated
12/04/2025
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