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PETER CHARLEY

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1063883221

Individual Registrant:
 PETER  CHARLEY 
Gender: M
Sole Proprietor

Location and contact information for practice:
162 GROVE ST STE J  BISHOP, CA 93514-2652 US
Tel: 760-873-6533  Fax: 760-873-3277

Contact information for business:
162 GROVE ST STE J  BISHOP, CA 93514-2652 US
Tel: 760-873-6533  Fax: 760-873-3277

Registration Information:
NPI: 1063883221
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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