Individual
MR. CHARLES MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 E 10TH ST, LONG BEACH, CA 90813-5035
(562) 218-3639
(562) 218-5310
Mailing address
1603 E 10TH ST, LONG BEACH, CA 90813-5035
(562) 218-3639
(562) 218-5310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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