Individual
AMAELO EZEONWUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1075 WASHINGTON ST, EUGENE, OR 97401-4606
(541) 321-2278
Mailing address
1790 W 11TH AVE, EUGENE, OR 97402-3758
(541) 686-2611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
C8404
OR
Other
Enumeration date
08/26/2014
Last updated
09/25/2024
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