Individual
CHINONYE OFEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 6TH AVE W, SHAKOPEE, MN 55379-2213
(952) 220-6816
Mailing address
1010 6TH AVE W, SHAKOPEE, MN 55379-2213
(612) 361-6777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304485
MN
101YM0800X
Mental Health Counselor
Primary
CC04018
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708380
—
OK
05
—
200049040
—
OK
Enumeration date
12/13/2012
Last updated
09/24/2024
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