Individual
MRS. BERNADETTE M CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW LICDC
Contact information
Practice address
695 SOUTH ST, CHARDON, OH 44024-1474
(440) 286-1631
Mailing address
1310 DENISE DR, KENT, OH 44240-1606
(330) 678-2646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
892705
OH
1041C0700X
Clinical Social Worker
Primary
I1839
OH
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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