Individual
CHARVETTA MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44421 10TH ST W BLDG CD, LANCASTER, CA 93534-3335
(888) 777-8565
Mailing address
44421 10TH ST W BLDG CD, LANCASTER, CA 93534-3335
(888) 777-8565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1469530522
CA
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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