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NPI Code Detail

MEDICARE: CHARDIN CHARLES

MEDICARE: CHARDIN CHARLES
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
1101YM0800XMental Health CounselorMA

General Provider Information

NPI Number : 1093523185
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARDIN CHARLES
Provider Business Mailing Address
First Line : 18 FREEDOM CT
Second Line :
City : JOHNSTON
State : RI
Zip : 02919-3506
Country : US
Telephone Number : 401-636-2537
Fax Number :
Provider Business Practice Location Address
First Line : 1052 PLEASANT ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-1602
Country : US
Telephone Number : 508-284-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2024
Last Update Date : 12/21/2024

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Directions to “ CHARDIN CHARLES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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