Individual
CHIMAMKPA METU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
PO BOX 840, NORTH HOLLYWOOD, CA 91603-0840
(858) 609-9842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
167G00000X
Licensed Psychiatric Technician
—
—
273R00000X
Psychiatric Hospital Unit
—
CA
283Q00000X
Psychiatric Hospital
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
10/01/2024
Last updated
04/25/2025
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