Individual
CHARLOTTE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 241-4917
(760) 241-8911
Mailing address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 241-4917
(760) 241-8911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
W0905302055
CA
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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