Individual
MR. CHARLES RANDOLPH WINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II, RAS II
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-4606
Mailing address
7796 LEUCITE AVE, RANCHO CUCAMONGA, CA 91730-2724
(909) 693-0591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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