Individual provider · Type 1 NPI
Charles Ian Stange
Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA
NPI number
1821800517
Active
Practice location
200 7th Ave Ste 150
Santa Cruz, CA 95062-4669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821800517
Charles Ian Stange's National Provider Identifier is 1821800517, issued on Jan 21, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Jan 21, 2025.