Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 37AC0006300 | NJ |
Y | 101YM0800X | Mental Health Counselor | 37AC00063800 | NJ |
N | 101YP1600X | Pastoral Counselor | 37AC00063800 | NJ |
NPI | 1205187176 |
---|---|
Provider Name | Dr. Emmanuel Akpan |
First Address | Ledgewood, NJ 07852-9737 |
Second Address | Ledgewood, NJ 07852-9737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2012 |
Last Update Date | 01/10/2012 |