I take it that $u: \mathbb{R} \to \mathbb{R}$ and not $u: \mathbb{R}^N \to \mathbb{R}$ (as in the question). Otherwise $u(c)$ for $c \in \mathbb{R}$ does not make sense.
tldr:
- if $u$ is continuous, a certainty equivalence exists (if the mean utility is well defined)
- if $u$ is strictly monotone, then the certainty equivalence (if it exists) must be unique.
Let $P(x)$ be a probability distribution over $\mathbb{R}$. Then the expected utility is given by
$$
\overline{u} = \int u(x) dP(x).
$$
Let us assume that this is well defined. A certainty equivalence $c$ of the lottery satisfies $u(c) = \overline{u}$.
Notice that at least for some $\underline{x} \in \mathbb{R}$ for which $u(\underline{x}) \le \overline{u}$. If not then for all $x \in \mathbb{R}$, $u(x) > \overline{u}$ and
$$
\overline{u} = \int u(x) d P(x) > \int \overline{u} d P(x) = \overline{u},
$$
a contradiction. Similarly, one can show that there is an $\overline{x}$ such that $u(\overline{x}) \ge \overline{u}$.
Define
$$
f(t) = u((1-t)\underline{x} + t \overline{x}) - \overline{u}.
$$
Then if $u$ is continuous, $f$ is also continuous and we have that $f(0) \le 0$ and $f(1) \ge 0$. By the intermediate value theorem, there exists a $t^\ast \in [0,1]$ for which $f(t^\ast) = 0$. Then,
$$
u(c) = \overline{u}
$$
where we defined $c = (1-t^\ast) \underline{x} + t^\ast \overline{x}$.
This shows the existence of the certainty equivalence. So far, we did not use strict monotonicity.
Next, using strict monotonicity, one can easily show that the certainty equivalence is unique.
If not, there are at least two, say $c_1$ and $c_2$. Assume without loss of generality that $c_1 < c_2$. As they are certainty equivalences, both should satisfy $u(c_1) = u(c_2) = \overline{u}$. This is impossible as $u(c_1) < u(c_2)$ by strict monotonicity.