Individual provider · Type 1 NPI

Sandra Ifenyinwa Ogbonna

Mental Health Counselor · Lawrenceville, GA

NPI number 1316286909 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Fax (698) 212-6350

Mailing address

421 Saint Marlowe Dr
Lawrenceville, GA 30044-7364

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316286909

Sandra Ifenyinwa Ogbonna's National Provider Identifier is 1316286909, issued on Feb 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 3, 2013.