Individual
MRS. JOELLEN MARIE QUARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
308 N LAKE CT, LAKE CHARLES, LA 70605-6535
(337) 477-8547
Mailing address
308 N LAKE CT, LAKE CHARLES, LA 70605-6535
(337) 477-8547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2868
LA
106H00000X
Marriage & Family Therapist
877
LA
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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