Individual
MR. CHARLES RALPH YARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAADC/ICAADC
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-6129
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2573
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LR03030521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457484636
—
CA
Enumeration date
03/14/2007
Last updated
05/17/2021
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