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Antionette Marie Charles
Addiction (Substance Use Disorder) Counselor in San Leandro, California
NPI 1598255283

Antionette Marie Charles is an Addiction (Substance Use Disorder) Counselor based in San Leandro, CA and is specialized in Addiction (Substance Use Disorder). Antionette Marie Charles practices in San Leandro, CA. The NPI Number for Antionette Marie Charles is 1598255283 and holds a License No. (California).

The current practice location address for Antionette Marie Charles is 2035 Fairmont Dr, San Leandro, CA and can be reached out via phone at 510-346-7836.

Location: 2035 Fairmont Dr, San Leandro, CA, 94578-1088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598255283
Provider Name
Antionette Marie Charles
Credential
Provider Entity Type
Individual
Gender
Female
Address
2035 Fairmont Dr, San Leandro, CA, 94578-1088
Phone Number
510-346-7836
Fax Number
Provider Enumeration Date
05/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2035 Fairmont Dr
City
San Leandro
State
California
Zip
94578-1088
Phone Number
510-346-7836
Fax Number
person
Provider Business Mailing Address Details
Address
2035 Fairmont Dr
City
San Leandro
State
California
Zip
94578-1088
Phone Number
510-346-7836
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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