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Charlotte Ivy, LPC
Professional Counselor in Lafayette, Louisiana
NPI 1164013876

Charlotte Ivy is a Professional Counselor based in Houston, LA and is specialized in Professional. Charlotte Ivy practices in Lafayette, LA and has the professional credentials of LPC. The NPI Number for Charlotte Ivy is 1164013876 and holds a License No. (Louisiana).

The current practice location address for Charlotte Ivy is 1921 Dulles Dr, Lafayette, LA and can be reached out via phone at 337-223-9487 and via fax at 888-511-5650.

Location: 1921 Dulles Dr, Lafayette, LA, 77086-2878
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Provider Profile Details
NPI Number
1164013876
Provider Name
Charlotte Ivy
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1921 Dulles Dr, Lafayette, LA, 77086-2878
Phone Number
337-223-9487
Fax Number
888-511-5650
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12345678999966655525 01 INTERN NUMBER
PLC6505 01 LA LICENSE #
institution
Provider Business Practice Location Address Details
Address
1921 Dulles Dr
City
State
Zip
70506-2716
Phone Number
337-223-9487
Fax Number
888-511-5650
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Provider Business Mailing Address Details
Address
1921 Dulles Dr
City
State
Zip
70506-2716
Phone Number
337-223-9487
Fax Number
888-511-5650
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Louisiana)
Definition
Definition to come...
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