Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 72670 | TX |
N | 101YM0800X | Mental Health Counselor | 72670 | TX |
N | 101YP2500X | Professional Counselor | 72670 | TX |
N | 101YS0200X | School Counselor | TX |
NPI | 1124480892 |
---|---|
Provider Name | Ijeoma Onyejiaka |
First Address | Dallas, TX 75228-7135 |
Second Address | Dallas, TX 75228-7135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2016 |
Last Update Date | 24/03/2016 |