Provider Demographics
NPI:1942505011
Name:CHARLTON, MARY ANN (CADC II)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:ANN
Last Name:CHARLTON
Suffix:
Gender:F
Credentials:CADC II
Other - Prefix:
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Mailing Address - Street 1:1701 MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-7103
Mailing Address - Country:US
Mailing Address - Phone:760-721-2781
Mailing Address - Fax:760-712-3195
Practice Address - Street 1:1701 MISSION AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-7103
Practice Address - Country:US
Practice Address - Phone:760-721-2781
Practice Address - Fax:760-712-3195
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)