Doctor Name: | MR. JAMES B. CARLETON |
NPI Number: | 1013126945 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BA, RSCP, CATCI |
License Number: | |
Business Practice Address: | 2101 E 1st St Santa Ana, CA - 927054007 |
Business Phone Number: | 7145423581 |
Business Fax Number: | 7145422246 |
Mailing Address: | 12552 Cardinal Ave, GARDEN GROVE |
State: | CA |
Postal Code: | 928434102 |
Phone Number: | 7145399791 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |