CHARLES ALLEN TALLEY

SAN CLEMENTE, CA
NPI1881863058
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  CADCII; a6060611)
Enumeration Date2008-02-21
Last Update Date2014-03-12
Business Address
Mr. CHARLES ALLEN TALLEY CADC II ,A6060611
1211 PUERTA DEL SOL STE 280
SAN CLEMENTE, CA 92673-6362
Phone number: 949-276-5553
Mailing Address
Mr. CHARLES ALLEN TALLEY CADC II ,A6060611
1211 PUERTA DEL SOL STE 280
SAN CLEMENTE, CA 92673-6362
Phone number: 949-276-5553
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