Individual
MR. CHARLES NEILL MUSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADTI
Contact information
Practice address
1733 EUCLID AVE, SAN DIEGO, CA 92105-5414
(619) 263-0433
Mailing address
1733 EUCLID AVE, SAN DIEGO, CA 92105-5414
(619) 263-0433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1347540519
CA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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