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Miss Shantee Dyan Charles
Professional Counselor in Santa Ana, California
NPI 1235706904

Shantee Dyan Charles is a Professional Counselor based in Martinez, CA and is specialized in Professional. Shantee Dyan Charles practices in Santa Ana, CA. The NPI Number for Shantee Dyan Charles is 1235706904 and holds a License No. (California).

The current practice location address for Shantee Dyan Charles is 1801 S Poplar St, Santa Ana, CA and can be reached out via phone at 714-433-3481.

Location: 1801 S Poplar St, Santa Ana, CA, 94553-6107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235706904
Provider Name
Shantee Dyan Charles
Credential
Provider Entity Type
Individual
Gender
Female
Address
1801 S Poplar St, Santa Ana, CA, 94553-6107
Phone Number
714-433-3481
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1801 S Poplar St
City
Santa Ana
State
California
Zip
92704-4321
Phone Number
714-433-3481
Fax Number
person
Provider Business Mailing Address Details
Address
1801 S Poplar St
City
Santa Ana
State
California
Zip
92704-4321
Phone Number
714-433-3481
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
12793 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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