VICTORIA CHARLESTON

GARY, IN
NPI1366855462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001015A)
Enumeration Date2014-06-05
Last Update Date2014-06-05
Business Address
-- VICTORIA CHARLESTON LCAC
1110 W 5TH AVE
GARY, IN 46402-1723
Phone number: 219-885-4264
Mailing Address
-- VICTORIA CHARLESTON LCAC
5077 ADAMS ST
GARY, IN 46408-4628
Phone number: 219-887-0510
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