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