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Charles Slocum
Mental Health Counselor in Fresno, California
NPI 1043789555

Charles Slocum is a Mental Health Counselor based in Fresno, CA and is specialized in Mental Health. Charles Slocum practices in Fresno, CA. The NPI Number for Charles Slocum is 1043789555 and holds a License No. (California).

The current practice location address for Charles Slocum is 496 S Barton Ave, Fresno, CA and can be reached out via phone at 559-892-1128.

Location: 496 S Barton Ave, Fresno, CA, 93702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043789555
Provider Name
Charles Slocum
Credential
Provider Entity Type
Individual
Gender
Male
Address
496 S Barton Ave, Fresno, CA, 93702
Phone Number
559-892-1128
Fax Number
Provider Enumeration Date
11/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
$$$$$$$$$ 05 CA
10YM0000X 05 CA
institution
Provider Business Practice Location Address Details
Address
496 S Barton Ave
City
Fresno
State
California
Zip
93701
Phone Number
559-892-1128
Fax Number
person
Provider Business Mailing Address Details
Address
496 S Barton Ave
City
Fresno
State
California
Zip
93701
Phone Number
559-892-1128
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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