National Provider Identifier

Laurie A Charles, LCSW

Laurie A Charles, LCSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Jamestown, NY and a listed phone number of (716) 664-8630.

NPI 1467572560Jamestown, NYMental Health Counselor

Profile Overview

NPI
1467572560
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
March 30, 2007
Last Updated
July 08, 2007

Practice Location

  • 51 Glasgow Ave
  • Jamestown, NY 14701-6413

Phone: (716) 664-8630

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1467572560
Entity Type
Individual
Last Name
Charles
First Name
Laurie
Middle Name
A
Name Prefix
Mrs.
Credential
LCSW
Mailing Street Address
51 Glasgow Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6413
Mailing Country
US
Mailing Phone
(716) 664-8630
Mailing Fax
(716) 664-8632
Practice Street Address
51 Glasgow Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-6413
Practice Country
US
Practice Phone
(716) 664-8630
Practice Fax
(716) 664-8632
Enumeration Date
March 30, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)
Other Identifiers
R031417-1 (NY, License)