Individual
IDARA J UDO-INYANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417
(937) 734-8333
Mailing address
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417
(937) 734-8333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1902092-TRNE
OH
101YM0800X
Mental Health Counselor
Primary
C.2103334
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0416172
—
OH
Enumeration date
04/21/2020
Last updated
05/07/2025
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