Individual
CHARLETTE FORNEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NBCC
Contact information
Practice address
216 MEMPHIS ST, BOGALUSA, LA 70427-3844
(985) 735-0160
(985) 735-0970
Mailing address
216 MEMPHIS ST, BOGALUSA, LA 70427-3844
(985) 735-0160
(985) 735-0970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
139
LA
101YP2500X
Professional Counselor
Primary
1588
LA
101YP2500X
Professional Counselor
202454
LA
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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