Charles Johnson Ethelbah, CMPSS
Charles Johnson Ethelbah, CMPSS is a Peer Specialist in Campo, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
1777 Buckman Springs RdCampo, CA 91906-2022
Phone: (619) 478-5696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-ZKDUCT (CA) |
|---|
Record details
| NPI number | 1447125885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CMPSS |
| Sole proprietor | No |
| NPI enumerated | October 7, 2025 |
| Last updated in NPPES | October 7, 2025 |
| Certification date | October 7, 2025 |
Other providers in Campo
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Zachariah Ryan Barrett, CMPSS
1777 Buckman Springs Rd, Campo, CA 91906-2022 · (619) 478-5696
-
James David Elkins
1777 Buckman Springs Rd, Campo, CA 91906-2022 · (619) 478-5696
-
Travis Hamblin, CMPSS
1777 Buckman Springs Rd, Campo, CA 91906-2022 · (619) 478-5696
-
Carlos Alberto Ramirez, RADT
1777 Buckman Springs Rd, Campo, CA 91906-2022 · (619) 478-5696
-
Christopher Lee Wright, CMPSS
1777 Buckman Springs Rd, Campo, CA 91906-2022 · (619) 478-5696