Individual
ALIAS JAMES CHARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
U.S. 191 & HOSPITAL DRIVE, CHINLE, AZ 86503-3805
(928) 674-7000
Mailing address
PO BOX 3805, CHINLE, AZ 86503-3805
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-07746
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0575
NM
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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