Individual
DEIONTRE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 S UNION ST STE 2, OPELOUSAS, LA 70570-5612
(337) 942-9292
Mailing address
1310 S UNION ST STE 2, OPELOUSAS, LA 70570-5612
(337) 942-9292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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