Individual provider · NPI-1
Nnamdi Raphael Agude Jr.
Counselor, Mental Health · Orange, CA
NPI number1740933712
StatusActive
Last updated in NPPESJan 31, 2022
Details
- NPI
- 1740933712
- Entity type
- Individual (NPI-1)
- Name
- Nnamdi Raphael Agude Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2022
- Certification date
- Jan 31, 2022
- Last updated
- Jan 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | CA | Yes |
Practice location
238 S Flower StOrange, CA 92868-3415
Phone 714-978-6682
Mailing address
238 S Flower StOrange, CA 92868-3415
Phone 714-978-6682
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