person
Mrs. Laurie A Charles, LCSW
Mental Health Counselor in Jamestown, New York
NPI 1467572560

Laurie A Charles is a Mental Health Counselor based in Jamestown, NY and is specialized in Mental Health. Laurie A Charles practices in Jamestown, NY and has the professional credentials of LCSW. The NPI Number for Laurie A Charles is 1467572560 and holds a License No. R031417-1 (New York).

The current practice location address for Laurie A Charles is 51 Glasgow Ave, Jamestown, NY and can be reached out via phone at 716-664-8630 and via fax at 716-664-8632.

Location: 51 Glasgow Ave, Jamestown, NY, 14701-6413
person
Provider Profile Details
NPI Number
1467572560
Provider Name
Laurie A Charles
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
51 Glasgow Ave, Jamestown, NY, 14701-6413
Phone Number
716-664-8630
Fax Number
716-664-8632
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R031417-1 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
51 Glasgow Ave
City
State
Zip
14701-6413
Phone Number
716-664-8630
Fax Number
716-664-8632
person
Provider Business Mailing Address Details
Address
51 Glasgow Ave
City
State
Zip
14701-6413
Phone Number
716-664-8630
Fax Number
716-664-8632
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
R031417-1 (New York)
Definition
Definition to come...
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