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Individual

CHARLES SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(657) 261-7140
(714) 922-1032
Mailing address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A063280923
CA
103K00000X
Behavior Analyst
Primary
CA

Other

Enumeration date
09/23/2022
Last updated
04/23/2026
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