Individual
CHARLES FENIGSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 W CORAL REEF DR, GILBERT, AZ 85233-6106
(480) 993-6605
Mailing address
1410 W CORAL REEF DR, GILBERT, AZ 85233-6106
(480) 993-6605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LILACS-11498
AZ
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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