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Individual

MR. CHARLES KEITH ROWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RADT-I

Contact information

Practice address
1180 3RD AVE, SUITE C-3, CHULA VISTA, CA 91911-3139
(619) 691-8164
Mailing address
17825 ARDISIA CT, SAN DIEGO, CA 92127-1250
(858) 275-3154

Taxonomy

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

Other

Enumeration date
09/09/2016
Last updated
09/09/2016
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