Individual
MR. CHARLES ALLEN TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II ,A6060611
Contact information
Practice address
1211 PUERTA DEL SOL STE 280, SAN CLEMENTE, CA 92673-6362
(949) 276-5553
(949) 498-2619
Mailing address
1211 PUERTA DEL SOL STE 280, SAN CLEMENTE, CA 92673-6362
(949) 276-5553
(949) 498-2619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADCII; A6060611
CA
Other
Enumeration date
02/21/2008
Last updated
03/12/2014
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