Individual
CHARLIE GINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
291 W CASA BLANCA RD, SACATON, AZ 85147
(602) 528-1200
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(520) 562-3323
(520) 562-5223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-114
AZ
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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