Individual
MS. ALICIA M. CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
11110 CONINE AVE SE, OLYMPIA, WA 98513-9603
(253) 922-5269
(253) 922-0910
Mailing address
11110 CONINE AVE SE, OLYMPIA, WA 98513-9603
(253) 922-5269
(253) 922-0910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00015186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980994
—
WA
Enumeration date
09/24/2008
Last updated
09/24/2008
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