| Doctor Name: | CHARLES CHIANG YEH |
| NPI Number: | 1043559057 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, CADC II, ASW |
| License Number: | I9640610 |
| Business Practice Address: | 8330 Reseda Blvd Northridge, CA - 913244619 |
| Business Phone Number: | 8183425897 |
| Business Fax Number: | 8189755018 |
| Mailing Address: | 7101 Baird Ave, RESEDA |
| State: | CA |
| Postal Code: | 913354150 |
| Phone Number: | 8183425897 |
| Fax Number: | 8189755018 |
| NPI Enumeration Date: | 02/11/2013 |
| NPI Last Update Date: | 02/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | I9640610 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |