Individual
DONATUS IKECHUKWU EZENNEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2122 AUSTELL RD SW, MARIETTA, GA 30008-4151
(762) 233-4869
Mailing address
2122 AUSTELL RD SW, MARIETTA, GA 30008-4151
(857) 260-8805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
01/30/2018
Last updated
09/03/2024
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