Individual
CHARLES RICHARD CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 DALE ST, SAN DIEGO, CA 92102-1519
(619) 915-5710
Mailing address
1530 DALE ST, SAN DIEGO, CA 92102-1519
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1434290621
CA
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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