Individual
IJEOMA MARCIA DURU- AKABOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 CLEVELAND ST APT B8, ORANGE, NJ 07050-2762
(862) 704-2155
Mailing address
150 CLEVELAND ST APT B8, ORANGE, NJ 07050-2762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041S0200X
School Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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