Individual
ARCENIO CHARLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HIWAY 491 NORTH PINION STREET, SHIPROCK, NM 87420-1830
(505) 368-1438
(505) 368-1452
Mailing address
PO BOX 709, WINDOW ROCK, AZ 86515-0709
(505) 368-1506
(505) 368-1462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
06/18/2019
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