Individual provider · Type 1 NPI

Antionette Marie Charles

Addiction (Substance Use Disorder) Counselor · San Leandro, CA

NPI number 1598255283 Active

Practice location

2035 Fairmont Dr
San Leandro, CA 94578-1088

Call (510) 346-7836 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1598255283

Antionette Marie Charles's National Provider Identifier is 1598255283, issued on May 17, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Leandro, CA. The record was last updated on May 17, 2018.