Organization
COPIOUS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE AMAKA NWOKE MSW, LICSW (MENTAL HEALTH THERAPIST)
(612) 702-6673
Entity
Organization
Contact information
Practice address
3621 85TH AVE N STE 106, BROOKLYN PARK, MN 55443-1931
(612) 702-6673
Mailing address
7317 JAMES AVE N, BROOKLYN PARK, MN 55444-2413
(763) 291-5199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12333
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12333
SOCIAL WORK LICENSE #
MN
Enumeration date
07/11/2018
Last updated
07/11/2018
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