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Contact Information

VICTORIA CHARLESTON, LCAC
1110 W 5TH AVE
GARY, IN46402-1723
 Phone: 219-885-4264
 Fax: 219-239-2944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for VICTORIA CHARLESTON · (Female)

NPI # 1366855462
Status Active
Credentials LCAC
Entity Individual
Enumeration date 06/05/2014
Last updated 06/05/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 87001015A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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