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Charlie J White
Mental Health Counselor in Grass Valley, California
NPI 1548552581

Charlie J White is a Mental Health Counselor based in Grass Valley, CA and is specialized in Mental Health. Charlie J White practices in Grass Valley, CA. The NPI Number for Charlie J White is 1548552581 and holds a License No. (California).

The current practice location address for Charlie J White is 500 Crown Point Cir Ste 120, Grass Valley, CA and can be reached out via phone at 530-271-0257.

Location: 500 Crown Point Cir Ste 120, Grass Valley, CA, 95945-6410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548552581
Provider Name
Charlie J White
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Crown Point Cir Ste 120, Grass Valley, CA, 95945-6410
Phone Number
530-271-0257
Fax Number
Provider Enumeration Date
05/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Crown Point Cir Ste 120
City
Grass Valley
State
California
Zip
95945-9561
Phone Number
530-271-0257
Fax Number
person
Provider Business Mailing Address Details
Address
500 Crown Point Cir Ste 120
City
Grass Valley
State
California
Zip
95945-9561
Phone Number
530-271-0257
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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