Charleston, Victoria
Charleston, Victoria is an individual health care provider with primary practice located at 1110 W 5Th Ave , Gary IN 46402-1723. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Charleston, Victoria can be contacted via phone (219) 885-4264.Contact Information
Primary practice address
1110 W 5Th Ave
Gary IN 46402-1723
Phone: (219) 885-4264
Fax: (219) 239-2944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87001015A | Indiana |
Profile Details
| NPI number | 1366855462 |
|---|---|
| LBN Legal business name | Charleston, Victoria |
| Credentials | LCAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2014 |
| Last updated | Jun 5th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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