Individual
CHARLES LEIGH BABCOCK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
3051 W SIMS WAY, PORT TOWNSEND, WA 98368-2255
(360) 385-1258
Mailing address
3051 W SIMS WAY, PORT TOWNSEND, WA 98368-2255
(360) 385-1258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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