Provider Demographics
NPI:1356110480
Name:GARRETT, CHERIE DUHON (SSP, NCSP)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:DUHON
Last Name:GARRETT
Suffix:
Gender:F
Credentials:SSP, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CHEMET RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6647
Mailing Address - Country:US
Mailing Address - Phone:985-519-1555
Mailing Address - Fax:
Practice Address - Street 1:109 CHEMET RD
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-6647
Practice Address - Country:US
Practice Address - Phone:985-519-1555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA442059101YS0200X
LA004321103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool