Individual
CHARLES ODIPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED. D
Contact information
Practice address
3067 FREEPORT BLVD, SACRAMENTO, CA 95818-4347
(916) 217-7529
(916) 229-0689
Mailing address
3067 FREEPORT BLVD, SACRAMENTO, CA 95818-4347
(916) 217-7529
(916) 229-0689
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY19345
CA
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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