Provider Demographics
NPI:1255606349
Name:PLACKER, CHARLSA Y (LPC)
Entity type:Individual
Prefix:
First Name:CHARLSA
Middle Name:Y
Last Name:PLACKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 YORK DR
Mailing Address - Street 2:205
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2065
Mailing Address - Country:US
Mailing Address - Phone:972-283-6286
Mailing Address - Fax:214-217-4819
Practice Address - Street 1:941 YORK DR
Practice Address - Street 2:205
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2065
Practice Address - Country:US
Practice Address - Phone:972-283-6286
Practice Address - Fax:214-217-4819
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor