Individual
MS. CHARLOTTE CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1947 N CALIFORNIA ST, STOCKTON, CA 95204-6029
(916) 707-7732
Mailing address
1955 CRUTCHFIELD LN, MANTECA, CA 95336-7041
(916) 707-7732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
01/28/2022
Last updated
02/08/2022
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