Individual
ANTHONY ONUBOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 AZALEA RD, BRODHEADSVILLE, PA 18322-7703
(570) 994-6817
Mailing address
243 AZALEA RD, BRODHEADSVILLE, PA 18322-7703
(570) 994-6817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
26789126
PA
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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