MEDICARE: ANNIE CLAIRE CHARLAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC019914	PA

General Provider Information

NPI Number	:	1649991076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIE CLAIRE CHARLAT

Provider Business Mailing Address
First Line	:	434 SHADY AVE APT 31
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-4826
Country	:	US
Telephone Number	:	412-518-2363
Fax Number	:

Provider Business Practice Location Address
First Line	:	5743 BARTLETT ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1582
Country	:	US
Telephone Number	:	412-422-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2022
Last Update Date	:	02/06/2026

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Directions to “ ANNIE CLAIRE CHARLAT ” Practice Location

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