DESTINEE CHARLES

BATON ROUGE, LA
NPI1891215919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-06-20
Last Update Date2019-11-11
Business Address
DESTINEE CHARLES
1200 S ACADIAN THRUWAY
BATON ROUGE, LA 70806-6900
Phone number: 225-223-6968
Mailing Address
DESTINEE CHARLES
1379 N FOSTER DR
BATON ROUGE, LA 70806-1816
Phone number: 225-636-0806