CHARLES VERNON HUNGATE

MARYSVILLE, CA
NPI1861776973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RIH1107212339)
Enumeration Date2011-10-07
Last Update Date2011-10-07
Business Address
Mr. CHARLES VERNON HUNGATE RASi
1496 N BEALE RD
MARYSVILLE, CA 95901-6205
Phone number: 530-749-8640
Mailing Address
Mr. CHARLES VERNON HUNGATE RASi
618 ELM ST APT 2
MARYSVILLE, CA 95901-5562
Phone number: 530-671-6961