Individual
MR. CHARLES KEVIN PRECOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
23041 HATTERAS ST, WOODLAND HILLS, CA 91367-4236
(888) 416-2046
Mailing address
23041 HATTERAS ST, WOODLAND HILLS, CA 91367-4236
(888) 416-2046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI13800518
CA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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