Individual
CHIEMEZIEM IKONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 E LOS ANGELES AVE STE B2, SIMI VALLEY, CA 93065-1884
(805) 522-1844
Mailing address
29325 VIA MILAGRO, VALENCIA, CA 91354-1575
(909) 635-9934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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