CHARLIE BANGO

LAKEWOOD, OH
NPI1376949446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  E2133-s)
Enumeration Date2014-11-17
Last Update Date2014-11-17
Business Address
-- CHARLIE BANGO lpcc-s
17405 HILLIARD RD
LAKEWOOD, OH 44107-5305
Phone number: 216-312-4774
Mailing Address
-- CHARLIE BANGO lpcc-s
17405 HILLIARD RD
LAKEWOOD, OH 44107
Phone number: 216-312-4774