Individual
MR. CHARLES NATHANIEL SHEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.A.T.S.
Contact information
Practice address
3085 RIDGEVIEW DR, ALTADENA, CA 91001-4527
(626) 791-0831
(626) 791-1592
Mailing address
909 N AZUSA AVE, AZUSA, CA 91702-2408
(818) 207-5808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
030806
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030806
CATC CREDENTIAL
CA
Enumeration date
03/13/2007
Last updated
03/08/2011
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