KELLYE CHARLES

LANCASTER, CA
NPI1881126472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1244990317)
Enumeration Date2017-04-01
Last Update Date2017-04-01
Business Address
-- KELLYE CHARLES R1244990317
104 E AVENUE K4 SUITE B
LANCASTER, CA 93535-4678
Phone number: 661-874-4680
Mailing Address
-- KELLYE CHARLES R1244990317
104 E AVENUE K4 SUITE B
LANCASTER, CA 93535-4678
Phone number: 661-874-4680
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