Individual
AVELINA OLGA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 RIDDER PARK DR, SAN JOSE, CA 95131-2304
(408) 453-6500
Mailing address
1290 RIDDER PARK DR, SAN JOSE, CA 95131-2304
(408) 453-6500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
11/19/2021
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