Individual
DANIEL IKPECHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ICADC
Contact information
Practice address
5995 OAKBROOK PKWY, NORCROSS, GA 30093-1703
(404) 353-7037
(770) 339-7099
Mailing address
PO BOX 1262, NORCROSS, GA 30091-1262
(404) 353-7037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
633
GA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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