CHARLES ALAN BERGQUIST

SANTA BARBARA, CA
NPI1093954505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2009-02-08
Last Update Date2009-02-08
Business Address
MR. CHARLES ALAN BERGQUIST
712 N ALISOS ST
SANTA BARBARA, CA 93103-2402
Phone number: 805-962-5450
Mailing Address
MR. CHARLES ALAN BERGQUIST
712 N ALISOS ST
SANTA BARBARA, CA 93103-2402
Phone number: 805-962-5450
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