Individual
ELISHA IFEANYICHUKWU IBEBUNJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
THERAPIST/ COUNSELOR
Contact information
Practice address
218 SPARROW DR APT 4, ROYAL PALM BEACH, FL 33411-1351
(561) 290-9149
Mailing address
218 SPARROW DR APT 4, ROYAL PALM BEACH, FL 33411-1351
(561) 290-9149
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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