Provider Demographics
NPI:1346533098
Name:ZHAFAR, CHARMAINE (LPC-S)
Entity Type:Individual
Prefix:MS
First Name:CHARMAINE
Middle Name:
Last Name:ZHAFAR
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 WELLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-5337
Mailing Address - Country:US
Mailing Address - Phone:225-993-1535
Mailing Address - Fax:
Practice Address - Street 1:1318 WELLINGTON DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-5337
Practice Address - Country:US
Practice Address - Phone:225-993-1535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA101YP2500X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No251S00000XAgenciesCommunity/Behavioral Health