Individual provider · Type 1 NPI
Donatus Ikechukwu Ezenneka
Mental Health Counselor · Marietta, GA
NPI number
1104324664
Active
Practice location
2122 Austell Rd SW
Marietta, GA 30008-4151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor | 101YP1600X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104324664
Donatus Ikechukwu Ezenneka's National Provider Identifier is 1104324664, issued on Jan 30, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marietta, GA. The record was last updated on Sep 3, 2024.