| Charles Luke Enomoto Sr, | |
|
20 Lake Blvd, Redding, CA 96003-2512 | |
| (530) 229-1416 | |
| Not Available |
| Full Name | Charles Luke Enomoto Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 20 Lake Blvd, Redding, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760125843 | NPI | - | NPPES |
| 1912215492 | Other | CA | TRI-WEST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A057340620 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Luke Enomoto Sr, 12591 Shalon Dr, Redding, CA 96003-0382 Ph: (530) 510-3149 | Charles Luke Enomoto Sr, 20 Lake Blvd, Redding, CA 96003-2512 Ph: (530) 229-1416 |
Jenee Siems, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1127 Coggins St, Redding, CA 96003 Phone: 530-690-5451 | |
Robin Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1147 Hartnell Ave, Redding, CA 96002 Phone: 530-222-7213 | |
Heather Ann Marie Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3648 El Portal Dr, Redding, CA 96002 Phone: 530-722-1114 | |
Jeffrey Albert Curtis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3191 Churn Creek Rd, Redding, CA 96002 Phone: 530-224-7160 | |
Andrea Asebedo, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 West St, Redding, CA 96001 Phone: 530-524-4849 | |
Laura Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3191 Churn Creek Rd, Redding, CA 96002 Phone: 530-224-7160 | |
Mrs. Raechel Lynne Callejo, LMFT, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3330 Churn Creek Rd Ste D4, Redding, CA 96002 Phone: 530-378-4855 Fax: 530-768-1198 |