Individual provider · Type 1 NPI
Charles Allen Talley, CADC II, A6060611
Addiction (Substance Use Disorder) Counselor · San Clemente, CA
NPI number
1881863058
Active
Practice location
1211 Puerta Del Sol Ste 280
San Clemente, CA 92673-6362
Fax (949) 498-2619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CADCII; A6060611 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1881863058
Charles Allen Talley, CADC II, A6060611's National Provider Identifier is 1881863058, issued on Feb 21, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Clemente, CA. The record was last updated on Mar 12, 2014.