Individual
CHARLES E LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11502 S VERMONT AVE, #D, LOS ANGELES, CA 90044-6522
(323) 755-2742
Mailing address
8306 WILSHIRE BLVD, #7024, BEVERLY HILLS, CA 90211
(323) 755-2742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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