Individual
CHARLES JOSEPH VAN DE VOORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
531 KNOTTS ST, BAKERSFIELD, CA 93305-3043
(661) 325-1817
(661) 325-3929
Mailing address
PO BOX 3218, BAKERSFIELD, CA 93385-3218
(661) 325-1817
(661) 325-3929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1444970921
CA
Other
Enumeration date
07/03/2023
Last updated
07/25/2023
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