MR. James Edward Charles SR., L.S.A.A.

NPI #1841524204 in Chimayo, New Mexico

Provider Information

NPI Number
1841524204
Entity Type
Individual
Name
MR. James Edward Charles SR., L.S.A.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
L.S.A.A.
Enumeration Date
Oct 1, 2009
Last Updated
Oct 1, 2009

Practice Location

Address
HC 64 BOX 23C
ZIP Code
87522-9715
Phone
(505) 351-2447

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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