Individual
CHANTELE FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT 1
Contact information
Practice address
5494 PONY EXPRESS TRAIL, CAMINO, CA 95709-9570
(530) 644-3715
Mailing address
PO BOX 586, CAMINO, CA 95709-0586
(530) 644-3758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1469210522
CA
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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