Individual
ALPHONSUS EKELE NGWADOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
65 GLEN RD, SUITE 295, GARNER, NC 27529-7943
(919) 247-2312
Mailing address
295 ADAMS POINT DR, GARNER, NC 27529-6507
(919) 247-2312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
9669
NC
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9583
—
NC
Enumeration date
08/09/2007
Last updated
03/20/2015
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