Individual
KENNY CHARGOIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 BANCROFT AVE, SAN LEANDRO, CA 94577-3863
(510) 618-4380
Mailing address
1150 BANCROFT AVE, SAN LEANDRO, CA 94577-3863
(510) 618-4380
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
240107438
CA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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