Individual
CHANELLE CARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
(415) 375-7600
Mailing address
PO BOX 526, OKANOGAN, WA 98840-0526
(425) 299-0339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2012
Last updated
07/07/2015
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