Individual
MR. CHARLES E. GLEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
11770 BERNARDO PLAZA CT, SUITE 370, SAN DIEGO, CA 92128-2422
(858) 673-3360
(619) 528-4625
Mailing address
PO BOX 609001, SAN DIEGO, CA 92160-9001
(619) 528-4600
(619) 528-4625
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP16543
CA
Other
Enumeration date
01/17/2007
Last updated
03/15/2021
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