Individual provider · Type 1 NPI

Simeon Sobenna Ekugwum

Professional Counselor · Harvey, LA

NPI number 1194369264 Active

Practice location

2439 Manhattan Blvd Ste 308
Harvey, LA 70058-5396

Mailing address

18 Rob Ln
Jackson, MS 39212-5927

Other practice locations

  • 18 Rob Ln, Jackson, MS 39212-5927 · (601) 842-0971

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPLC9826 (LA)
Case Manager/Care Coordinator 171M00000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle 347C00000XNone listed
Transportation Broker 347E00000XNone listed

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About NPI 1194369264

Simeon Sobenna Ekugwum's National Provider Identifier is 1194369264, issued on Nov 1, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Harvey, LA. The record was last updated on Sep 29, 2023.