Individual
MISS SHANTEE DYAN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 S POPLAR ST, SANTA ANA, CA 92704-4321
(714) 433-3481
Mailing address
118 CLEAR CREEK CT, MARTINEZ, CA 94553-6107
(714) 862-9473
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12793
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2021
Last updated
12/05/2023
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