Provider Demographics
NPI:1750398475
Name:HOVRE, CHARITY LYNN (MS, CRC, CVE)
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:LYNN
Last Name:HOVRE
Suffix:
Gender:F
Credentials:MS, CRC, CVE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 VETERANS DR
Mailing Address - Street 2:656/MH-116B
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-2015
Mailing Address - Country:US
Mailing Address - Phone:320-255-6424
Mailing Address - Fax:320-255-6472
Practice Address - Street 1:4801 VETERANS DR
Practice Address - Street 2:656/MH-116B
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-2015
Practice Address - Country:US
Practice Address - Phone:320-255-6424
Practice Address - Fax:320-255-6472
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor