Individual provider · Type 1 NPI

Avelina Olga Charles

Mental Health Counselor · San Jose, CA

NPI number 1003464041 Active

Practice location

1290 Ridder Park Dr
San Jose, CA 95131-2304

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1003464041

Avelina Olga Charles's National Provider Identifier is 1003464041, issued on Sep 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Nov 19, 2021.