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Chukwujindu Eziafakaego Otakpor
Mental Health Counselor in Fontana, California
NPI 1275869794

Chukwujindu Eziafakaego Otakpor is a Mental Health Counselor based in Fontana, CA and is specialized in Mental Health. Chukwujindu Eziafakaego Otakpor practices in Fontana, CA. The NPI Number for Chukwujindu Eziafakaego Otakpor is 1275869794 and holds a License No. (California).

The current practice location address for Chukwujindu Eziafakaego Otakpor is 7795 Freesia Way, Fontana, CA and can be reached out via phone at 909-532-9771.

Location: 7795 Freesia Way, Fontana, CA, 92336-4805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275869794
Provider Name
Chukwujindu Eziafakaego Otakpor
Credential
Provider Entity Type
Individual
Gender
Male
Address
7795 Freesia Way, Fontana, CA, 92336-4805
Phone Number
909-532-9771
Fax Number
Provider Enumeration Date
10/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7795 Freesia Way
City
Fontana
State
California
Zip
92336-4805
Phone Number
909-532-9771
Fax Number
person
Provider Business Mailing Address Details
Address
7795 Freesia Way
City
Fontana
State
California
Zip
92336-4805
Phone Number
909-532-9771
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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