Individual provider · Type 1 NPI
Fabian Ebogu
Mental Health Counselor · Westampton, NJ
NPI number
1679963615
Active
Practice location
770 Woodlane Rd
Westampton, NJ 08060-3804
Fax (866) 362-4769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1679963615
Fabian Ebogu's National Provider Identifier is 1679963615, issued on Jan 29, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Jan 29, 2015.