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Individual
CHARLES SANDERS
Active
Individual
CHARLES SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A063280923
CA
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
09/23/2022
Last updated
04/23/2026
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