Individual
CHARLES NEVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDRC #21019
Contact information
Practice address
603 D ST, SAN RAFAEL, CA 94901-3719
(415) 454-9444
Mailing address
430 W 2ND ST APT B, CLOVERDALE, CA 95425-3102
(415) 454-9444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21019
CA
Other
Enumeration date
02/26/2026
Last updated
02/27/2026
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