Individual
CHARLENE YOUNGGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E FLORIDA AVE, HEMET, CA 92543-4335
(951) 391-1470
Mailing address
601 E FLORIDA AVE, HEMET, CA 92543-4335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1364730919
CA
Other
Enumeration date
11/11/2019
Last updated
01/20/2022
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