| Doctor Name: | MS. CLAIRE THERESA PELLERIN |
| NPI Number: | 1033245170 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C., L.M.F.T. |
| License Number: | 294 |
| Business Practice Address: | 1624 Bank St Lake Charles, LA - 706016239 |
| Business Phone Number: | 3374859564 |
| Business Fax Number: | 3378550669 |
| Mailing Address: | 1170 Wedgewood Dr, LAKE CHARLES |
| State: | LA |
| Postal Code: | 706114808 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 294 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |