EAST VALLEY CHARLEE INC. NPI 1588868251

NPI Information

NPI: 1588868251
Provider Name: EAST VALLEY CHARLEE, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
440 CAJON ST
REDLANDS, CA
ZIP 92373
Phone: (909) 307-5777
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EAST VALLEY CHARLEE, INC. is a mental health counselor in Redlands, CA. EAST VALLEY CHARLEE, INC. NPI is 1588868251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

440 CAJON ST
REDLANDS, CA
ZIP 92373-955
Phone: (909) 307-5777
Fax: (909) 307-5776

The provider's authorized official is Larnel E. Jackson .
The authorized official title is Executive Director and has the following contact phone number (909) 307-5777.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 9/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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