Provider Demographics
NPI:1598807133
Name:GUARINO, CHARLOTTTE DENISE (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:CHARLOTTTE
Middle Name:DENISE
Last Name:GUARINO
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 LOUISE DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-3437
Mailing Address - Country:US
Mailing Address - Phone:985-778-9057
Mailing Address - Fax:
Practice Address - Street 1:4042 DESOTO ST
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-1804
Practice Address - Country:US
Practice Address - Phone:985-778-9057
Practice Address - Fax:985-624-5542
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2335101YP2500X
LA388101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional