CHARLES GREEN

SAN DIEGO, CA
NPI1003734153
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  20279)
Enumeration Date2026-07-07
Last Update Date2026-07-07
Business Address
CHARLES GREEN
4017 42ND ST
SAN DIEGO, CA 92105-1506
Phone number: 619-236-9492
Mailing Address
CHARLES GREEN
1919 ENSENADA ST
LEMON GROVE, CA 91945-3739
Phone number: