Individual
VICTORIA IJEOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 NW YORK DR STE 204, BEND, OR 97703-1055
(458) 451-5115
Mailing address
780 NW YORK DR STE 204, BEND, OR 97703-1055
(541) 668-6595
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R9049
OR
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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