Individual
CHARLENE V TALBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 N MAGNOLIA AVE, EL CAJON, CA 92020-3906
(000) 000-0000
Mailing address
534 FIFIELD ST, CHULA VISTA, CA 91910-6409
(619) 882-3535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
95-3149367
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1364140919
CA
Other
Enumeration date
03/01/2021
Last updated
12/02/2024
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