Individual
MR. EPHRAIM NGOZI AZUBUIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
00189274
Contact information
Practice address
31500 1ST AVE S, #18-203, FEDERAL WAY, WA 98003-5269
(425) 306-6061
Mailing address
31500 1ST AVE S, #18-203, FEDERAL WAY, WA 98003-5269
(425) 306-6061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60187482
WA
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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