Healthcare Provider Details

I. General information

NPI: 1285582031
Provider Name (Legal Business Name): CHARISSE ARMSTRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 STAFFORD WAY STE G
YUBA CITY CA
95991-3333
US

IV. Provider business mailing address

1178 JEWELFLOWER ST
PLUMAS LAKE CA
95961-8737
US

V. Phone/Fax

Practice location:
  • Phone: 530-434-6318
  • Fax:
Mailing address:
  • Phone: 803-552-5228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPCC22137
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: