Individual
CHUKWUEMEKA B. OKWUOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LADC, ATSA
Contact information
Practice address
264 AMITY RD STE 104, WOODBRIDGE, CT 06525-2200
(203) 747-8689
(203) 745-0493
Mailing address
264 AMITY RD STE 104, WOODBRIDGE, CT 06525-2200
(203) 747-8689
(203) 745-0493
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
811
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000811
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497006225
—
CT
Enumeration date
09/19/2012
Last updated
07/21/2022
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