Individual
MR. CHARLES WYNNE NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
702 SAN PEDRO AVE, SAN ANTONIO, TX 78212-4610
(210) 299-2400
(210) 270-0545
Mailing address
702 SAN PEDRO AVE, SAN ANTONIO, TX 78212-4610
(210) 299-2400
(210) 270-0545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6561
TX
Other
Enumeration date
02/22/2013
Last updated
09/05/2013
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