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Provider Information for 1790145308


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CHERISE COLLINS ROMAN LPC, PLMFT


Sex: Female

NPI: 1790145308
Last Updated: 2024-11-04
Certification Date: 2024-11-04

Details

NameValue
NPI1790145308
Enumeration Date2016-02-25
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 201 GUMPOINT LANE
FRANKLIN, LA 70538
United States

Phone: 337-350-8111 | Fax:
 
Primary Practice Address 201 GUMPOINT LANE
FRANKLIN, LA 70538
United States

Phone: 337-350-8111 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 171M00000X - Case Manager/Care Coordinator LAPLM1390
Yes 101YP2500X - Counselor - ProfessionalLA8088