Individual
CHARLENE WIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 CALLE TECATE STE 201, CAMARILLO, CA 93012-5056
(805) 844-0954
Mailing address
5284 ADOLFO RD, CAMARILLO, CA 93012-6787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56CC
ASPIRA
CA
Enumeration date
08/17/2021
Last updated
11/13/2023
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