Vandiver, Charles M

Vandiver, Charles M is an individual health care provider with primary practice located at 424 S Oakes St , San Angelo TX 76903-5944. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Vandiver, Charles M can be contacted via phone (325) 486-4521.

Contact Information

Primary practice address
424 S Oakes St San Angelo TX 76903-5944
Phone: (325) 486-4521
Fax: (325) 486-2968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 10966 Texas

Profile Details

NPI number 1598809865
LBN Legal business name Vandiver, Charles M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jul 9th, 2007 - about 19 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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