Individual
TAKAKO UDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2300 BOSWELL RD STE 112, CHULA VISTA, CA 91914-3523
(619) 549-0329
Mailing address
2300 BOSWELL RD STE 112, CHULA VISTA, CA 91914-3523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14054
CA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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