Individual
MR. CHARLES AARON FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8739 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4507
(866) 594-8844
Mailing address
8739 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4507
(310) 623-1477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2013168
CA
Other
Enumeration date
02/19/2019
Last updated
07/29/2021
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