Most Relevant Information
Provider Data
NPI Number: | 1003059924 |
Provider Name: | D. CHARLENE HACKETT MS |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 842 |
Most Important Dates
Enumeration Date: | 04/07/2009 |
Last Updated: | 08/18/2015 |
Provider Practice Location
7252 MANSIONS DR
CORPUS CHRISTI
TX
784143767
Practice Location Phone/Fax
Phone: | 3603040392 |
Fax: |
Provider Mailing Location
7252 MANSIONS DR
CORPUS CHRISTI
TX
784143767
Provider Mailing Phone/Fax
Phone: | |
Fax: |