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NPI Code Detail

MEDICARE: CHARLES EMRHEIN CADC-CAS

MEDICARE: CHARLES EMRHEIN CADC-CAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1881094910
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES EMRHEIN CADC-CAS
Provider Business Mailing Address
First Line : 3539 COLLEGE AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115
Country : US
Telephone Number : 619-818-1790
Fax Number :
Provider Business Practice Location Address
First Line : 3539 COLLEGE AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-7032
Country : US
Telephone Number : 619-818-3788
Fax Number : 619-795-6906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2014
Last Update Date : 07/21/2022

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Directions to “ CHARLES EMRHEIN CADC-CAS” Practice Location

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