Individual
CHARLES ANTHONY MCPHAIL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
3151 AIRWAY AVE STE T2, COSTA MESA, CA 92626-4627
(310) 422-6744
Mailing address
3151 AIRWAY AVE STE T2, COSTA MESA, CA 92626-4627
(310) 422-6744
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009130
MI
1041C0700X
Clinical Social Worker
6801034018
MI
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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