Individual
CHARLOTTE THOMAS AGUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LLPC
Contact information
Practice address
5747 SANDALWOOD DR, KALAMAZOO, MI 49048-6623
(313) 770-7522
Mailing address
5747 SANDALWOOD DRIVE, P.O. BOX 2044, PORTAGE, MI 49081
(313) 770-0752
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010817
MI
106H00000X
Marriage & Family Therapist
6401010817
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265607808
NPI
MI
Enumeration date
04/24/2008
Last updated
10/09/2015
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