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NPI Code Detail

MEDICARE: MR. CHARLES L FINLEY III SUDRC

MEDICARE:  MR. CHARLES L FINLEY III SUDRC
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) Counselor22889CA

General Provider Information

NPI Number : 1659222677
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHARLES L FINLEY III SUDRC
Provider Business Mailing Address
First Line : 310 HARRIS AVE STE A
Second Line :
City : SACRAMENTO
State : CA
Zip : 95838-3249
Country : US
Telephone Number : 916-649-6793
Fax Number :
Provider Business Practice Location Address
First Line : 310 HARRIS AVE STE A
Second Line :
City : SACRAMENTO
State : CA
Zip : 95838-3249
Country : US
Telephone Number : 916-649-6793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ MR. CHARLES L FINLEY III SUDRC” Practice Location

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