Individual
MR. ONGWESA KEBASO BW'OGEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1382 BLUE OAKS BLVD STE 213, ROSEVILLE, CA 95678-7052
(877) 412-8031
Mailing address
PO BOX 1032, SAN JOSE, CA 95108-1032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13707
CA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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