Individual
MR. CHARLES HERBERT LEA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2086 COMMERCE AVE, CONCORD, CA 94520-4902
(925) 827-0212
(925) 827-1122
Mailing address
2086 COMMERCE AVE, CONCORD, CA 94520-4902
(925) 827-0212
(925) 827-1122
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922162999
COMMUNITYBEHAVIORALHEALTH
CA
Enumeration date
12/11/2007
Last updated
12/11/2007
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