Individual
MR. CHARLES JOOHWAN YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADTP, NCAC
Contact information
Practice address
1450 N LAKE AVE STE 150, PASADENA, CA 91104-2388
(626) 794-1161
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13398
CA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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