Individual
CHARLONDA ROXANN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
560 BELLE TERRE BLVD, LA PLACE, LA 70068-1715
(985) 652-0078
(985) 652-8360
Mailing address
560 BELLE TERRE BLVD, LA PLACE, LA 70068-1715
(985) 652-0078
(985) 652-8360
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
02/25/2021
Last updated
07/01/2024
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