Individual
CHARLES DARRELL SLOCUM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 N PLEASANT AVE, FRESNO, CA 93728-2434
(559) 899-0888
Mailing address
496 S BARTON AVE, FRESNO, CA 93702-2985
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
ASW121016
CA
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
CA
05
—
10YM0000X
—
CA
Enumeration date
11/14/2018
Last updated
09/05/2025
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