Individual
JUDE ENYINIA IWUCHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LCDC
Contact information
Practice address
367 N 8TH ST, BEAUMONT, TX 77702
(409) 832-6327
Mailing address
367 N 8TH ST, BEAUMONT, TX 77702
(409) 832-6327
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9706
TX
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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