Individual
CHARLES MICHAEL MADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 E OCEAN AVE, SUITE B, LOMPOC, CA 93436-7000
(805) 735-7525
(805) 737-0524
Mailing address
1017 E OCEAN AVE, SUITE B, LOMPOC, CA 93436-7000
(805) 735-7525
(805) 737-0524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
420030BN
CA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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