Individual
KINGSLEY O NWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RESIDENTIAL CONSELOR
Contact information
Practice address
508 ALABAMA ST, VALLEJO, CA 94590-4446
(707) 557-5896
Mailing address
508 ALABAMA ST # AT, VALLEJO, CA 94590-4446
(707) 515-7186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
11/06/2014
Last updated
05/05/2025
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