Individual
CHARLIE BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(916) 974-8090
Mailing address
3297 TEA ROSE DR, EL DORADO HILLS, CA 95762-6568
(530) 363-0007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11687
CA
Other
Enumeration date
10/14/2020
Last updated
12/29/2022
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