Individual
MR. CHARLES WILLIAM CREAGER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4515 S MCCLINTOCK DR STE 114, TEMPE, AZ 85282-7381
(480) 641-1165
Mailing address
2470 W EDGEWATER WAY APT 1043, CHANDLER, AZ 85248-3006
(480) 209-2056
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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