Individual
CHARLOTTE HEATHER ANNE DIPAOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S GLENN DR APT 40, CAMARILLO, CA 93010-7969
(805) 914-9964
Mailing address
200 S GLENN DR APT 40, CAMARILLO, CA 93010-7969
(805) 914-9964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC14047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
CA
Enumeration date
09/28/2020
Last updated
09/28/2020
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