Individual provider · Type 1 NPI

Sosan Tewolde

Mental Health Counselor · Concord, CA

NPI number 1104400555 Active

Practice location

1200 Concord Ave Ste 450
Concord, CA 94520-4959

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104400555

Sosan Tewolde's National Provider Identifier is 1104400555, issued on May 11, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Concord, CA. The record was last updated on Jul 1, 2021.