Slocum, Charles Darrell

Slocum, Charles Darrell is an sole proprietor health care provider with primary practice located at 1040 N Pleasant Ave , Fresno CA 93728-2434. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Slocum, Charles Darrell can be contacted via phone (559) 899-0888.

Contact Information

Primary practice address
1040 N Pleasant Ave Fresno CA 93728-2434
Phone: (559) 899-0888
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW121016 California

Profile Details

NPI number 1043789555
LBN Legal business name Slocum, Charles Darrell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2018
Last updated Sep 5th, 2025 - about last year

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 1043789555 NPPES
California MEDICAID $$$$$$$$$
California MEDICAID 10YM0000X

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