Individual
MR. CHARLES ALAN BERGQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 N ALISOS ST, SANTA BARBARA, CA 93103-2402
(805) 962-5450
(805) 963-1653
Mailing address
712 N ALISOS ST, SANTA BARBARA, CA 93103-2402
(805) 962-5450
(805) 963-1653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/08/2009
Last updated
02/08/2009
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