Individual
MR. CHARLES PAUL HIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
63360 NW BRITTA ST, BUILDING 1, BEND, OR 97701-6869
(541) 318-4845
Mailing address
965 MILLCREEK RD, YORK, PA 17404-9606
(717) 764-2164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2007
Last updated
07/12/2007
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