Individual
HENRIETTA NGOZI EVBUOMWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC, LPC
Contact information
Practice address
1330 N CLASSEN BLVD STE 215, OKLAHOMA CITY, OK 73106-6834
(405) 821-8646
Mailing address
1330 N CLASSEN BLVD, SUITE 310, OKLAHOMA CITY, OK 73106-6835
(405) 821-8646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
05/26/2016
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