Individual
JOSHUA IKEGULU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASE MANGER
Contact information
Practice address
4348 S JEFFREY DR STE 102, BATON ROUGE, LA 70816
(225) 364-1901
Mailing address
4348 S JEFFREY DR STE 102, BATON ROUGE, LA 70816-4196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/13/2017
Last updated
06/19/2018
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