Individual
MS. CHANTELLE EZINNE OKOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
28370 N GOLD LN, SAN TAN VALLEY, AZ 85143-6059
(480) 720-3393
Mailing address
28370 N GOLD LN, SAN TAN VALLEY, AZ 85143-6059
(480) 720-3393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-21227
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171379
—
AZ
Enumeration date
02/02/2023
Last updated
12/30/2024
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