Individual provider · Type 1 NPI
Charles Luke Enomoto Sr.
Addiction (Substance Use Disorder) Counselor · Redding, CA
NPI number
1760125843
Active
Practice location
20 Lake Blvd
Redding, CA 96003-2512
Mailing address
12591 Shalon Dr
Redding, CA 96003-0382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor | 101YP1600X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A057340620 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1760125843
Charles Luke Enomoto Sr.'s National Provider Identifier is 1760125843, issued on Apr 18, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redding, CA. The record was last updated on Apr 18, 2022.