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Individual

CHARLES ELIAS

Active
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Individual

CHARLES ELIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW MAC LAC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000231
CO
1041C0700X
Clinical Social Worker
Primary
CSW-541
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000174957
CO
Enumeration date
04/07/2008
Last updated
06/10/2025
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