Individual
IJEOMA BENNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 S COLLEGE RD, WILMINGTON, NC 28403-3202
(910) 799-1071
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-9034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A14864
NC
101YP2500X
Professional Counselor
Primary
A14864
NC
Other
Enumeration date
09/24/2019
Last updated
11/28/2023
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