person
Mr. James Edward Charles SR., LSAA
Addiction (Substance Use Disorder) Counselor in Chimayo, New Mexico
NPI 1841524204

James Edward Charles SR. is an Addiction (Substance Use Disorder) Counselor based in Chimayo, NM and is specialized in Addiction (Substance Use Disorder). James Edward Charles SR. practices in Chimayo, NM and has the professional credentials of LSAA. The NPI Number for James Edward Charles SR. is 1841524204 and holds a License No. 006253 (New Mexico).

The current practice location address for James Edward Charles SR. is Hc 64 Box 23C, Chimayo, NM and can be reached out via phone at 505-351-2447 and via fax at 505-351-2446.

Location: Hc 64 Box 23C, Chimayo, NM, 87522-9715
person
Provider Profile Details
NPI Number
1841524204
Provider Name
James Edward Charles SR.
Credential
LSAA
Provider Entity Type
Individual
Gender
Male
Address
Hc 64 Box 23C, Chimayo, NM, 87522-9715
Phone Number
505-351-2447
Fax Number
505-351-2446
Provider Enumeration Date
10/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Hc 64 Box 23C
City
State
Zip
87522-9715
Phone Number
505-351-2447
Fax Number
505-351-2446
person
Provider Business Mailing Address Details
Address
Hc 64 Box 23C
City
State
Zip
87522-9715
Phone Number
505-351-2447
Fax Number
505-351-2446
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
006253 (New Mexico)
Definition
Definition to come...
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