Individual
MR. CHARLES M NALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3940 HOME AVE, SAN DIEGO, CA 92105-5952
(619) 262-8000
(610) 266-7405
Mailing address
2350 SAN DIEGO AVE APT K, SAN DIEGO, CA 92110-2846
(619) 581-2636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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