Charles Clendennen's National Provider Identifier (NPI) Details
Charles Clendennen, LPC-S
NPI: 1992461131
Enumeration Date: 2021-11-11
Last updated: 2021-11-11
Sole Proprietor: YES
Status: active
Postal Address: 7102 RIMWOOD, LIVE OAK, TX
Phone: 210-488-1668
Primary Practice Address: 7102 RIMWOOD, LIVE OAK, TX
Practice's phone: 210-488-1668