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Individual

MR. CHARLES RICHARD AVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CACAD

Contact information

Practice address
5980 CULLEN DR, SABILLASVILLE, MD 21780-9702
(240) 420-5400
Mailing address
13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2741
(240) 420-5400

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0617
MD

Other

Enumeration date
05/09/2008
Last updated
05/09/2008
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