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Individual

CHARLES DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4804 S VAN NESS AVE, LOS ANGELES, CA 90062-2148
(323) 204-1398
Mailing address
4804 S VAN NESS AVE, LOS ANGELES, CA 90062-2148
(323) 204-1398

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151120
CA

Other

Enumeration date
05/08/2024
Last updated
05/08/2024
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