Individual
EKENE EGBOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 CRISPIN WAY, GLASSBORO, NJ 08028-3471
(908) 838-1737
Mailing address
405 CRISPIN WAY, GLASSBORO, NJ 08028-3471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15463600
NJ
Other
Enumeration date
09/24/2025
Last updated
04/10/2026
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