Luckey, Charryse Fouquette

Luckey, Charryse Fouquette is an individual health care provider with primary practice located at 1830 27Th St Se Unit E , Saint Cloud MN 56304-8601. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Luckey, Charryse Fouquette can be contacted via phone (651) 503-7696.

Contact Information

Primary practice address
1830 27Th St Se Unit E Saint Cloud MN 56304-8601
Phone: (651) 503-7696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-05-2231 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6660 Minnesota

Profile Details

NPI number 1073006524
LBN Legal business name Luckey, Charryse Fouquette
Credentials PH.D, BCBA-D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2018
Last updated Oct 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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