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Individual
MR. CHARLES WILLIAM IBENTHAL
Active
Individual
MR. CHARLES WILLIAM IBENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFC 42352
CA
106H00000X
Marriage & Family Therapist
Primary
MFC42352
CA
Other
Enumeration date
08/21/2006
Last updated
04/04/2013
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