Individual
CHARLENE MISSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SUNSET BLVD, ROCKLIN, CA 95765-3791
(408) 401-3259
Mailing address
1000 SUNSET BLVD, ROCKLIN, CA 95765-3791
(408) 401-3259
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/24/2025
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