Yarnell, Charles Ralph

Yarnell, Charles Ralph is an sole proprietor health care provider with primary practice located at 1904 Richland Ave , Ceres CA 95307-4562. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Yarnell, Charles Ralph can be contacted via phone (209) 525-6129.

Contact Information

Primary practice address
1904 Richland Ave Ceres CA 95307-4562
Phone: (209) 525-6129
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LR03030521 California

Profile Details

NPI number 1457484636
LBN Legal business name Yarnell, Charles Ralph
Credentials LAADC/ICAADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated May 17th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457484636 NPPES
California MEDICAID 1457484636

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