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Provider Information for 1114102951


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Miss CHARRON C GARRETT LPC


Sex: Female

NPI: 1114102951
Last Updated: 2007-12-28
Certification Date:

Details

NameValue
NPI1114102951
Enumeration Date2007-12-28
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2250 HOLLY HALL ST APT 1117
HOUSTON, TX 77054-3943
United States

Phone: 713-790-0480 | Fax:
 
Primary Practice Address 2250 HOLLY HALL ST APT 1117
HOUSTON, TX 77054-3943
United States

Phone: 713-790-0480 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX63610