Individual
MR. CHARLES EKPEYONG UDOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED COUNSELOR
Contact information
Practice address
460 E CARSON PLAZA DR STE 106, CARSON, CA 90746-3270
(310) 532-6030
Mailing address
460 E CARSON PLAZA DR STE 106, CARSON, CA 90746-3270
(310) 532-6030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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