Individual provider · Type 1 NPI

Charles Bullitts

Addiction (Substance Use Disorder) Counselor · Culver City, CA

NPI number 1578968475 Active

Practice location

11133 Washington Blvd
Culver City, CA 90232-3918

Call (310) 895-2308 Map

Fax (310) 895-2353

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAS 01-101455 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1578968475

Charles Bullitts's National Provider Identifier is 1578968475, issued on Nov 4, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Culver City, CA. The record was last updated on Dec 30, 2014.