Individual
CHARALDA MONIQUE SULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLPC, MHP, MST
Contact information
Practice address
3604 CANAL ST, NEW ORLEANS, LA 70119
(504) 822-4333
Mailing address
2962 GLENBROOK DR, GRETNA, LA 70056-7912
(504) 261-5590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7643
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/06/2018
Last updated
10/11/2024
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