Organization
MAWIYAH KAMBON DBA
Active
Other names
Onipa Psychological and Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAWIYAH KAMBON PH.D. (EXECUTIVE DIRECTOR)
(919) 231-2109
Entity
Organization
Contact information
Practice address
2011 POOLE RD, RALEIGH, NC 27610-2725
(919) 231-2109
(919) 231-2152
Mailing address
PO BOX 46768, RALEIGH, NC 27620-6768
(919) 231-2109
(919) 231-7221
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1752
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001906
—
NC
Enumeration date
10/05/2006
Last updated
06/27/2008
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