Charleston, Charleton M

Charleston, Charleton M is an sole proprietor health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Charleston, Charleton M can be contacted via phone (505) 368-6001.

Contact Information

Primary practice address
Us Hwy 491 North Shiprock NM 87420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-09983 New Mexico

Profile Details

NPI number 1205176831
LBN Legal business name Charleston, Charleton M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2013
Last updated May 17th, 2021 - about 5 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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