Provider Demographics
NPI:1407342470
Name:CHARLAND, APRIL MARIE (LPC-A)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:CHARLAND
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 WOLFPOINT DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-9370
Mailing Address - Country:US
Mailing Address - Phone:910-736-8544
Mailing Address - Fax:
Practice Address - Street 1:597 OLIVER ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4432
Practice Address - Country:US
Practice Address - Phone:910-366-6235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13120101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional