Provider Demographics
NPI:1992461164
Name:NJOROGE, CHARLES KARANU
Entity type:Individual
Prefix:PROF
First Name:CHARLES
Middle Name:KARANU
Last Name:NJOROGE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23705 101ST PL SE APT C302
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-4275
Mailing Address - Country:US
Mailing Address - Phone:206-372-1521
Mailing Address - Fax:
Practice Address - Street 1:23705 101ST PL SE APT C302
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-4275
Practice Address - Country:US
Practice Address - Phone:206-372-1521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health