Individual
CHARLENE BLANCO LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10985 N HARRELLS FERRY RD, 2ND FLOOR, BATON ROUGE, LA 70816-8362
(225) 279-8866
Mailing address
10985 N HARRELLS FERRY RD, 2ND FLOOR, BATON ROUGE, LA 70816-8362
(225) 279-8866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2723
LA
Other
Enumeration date
07/26/2009
Last updated
07/26/2009
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