MEDICARE: NNEKA EJIOGU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	74766	TX
2	101YP2500X	Professional Counselor	14222	GA

General Provider Information

NPI Number	:	1407529811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NNEKA EJIOGU

Provider Business Mailing Address
First Line	:	10307 RIPPLEWAVE DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-1626
Country	:	US
Telephone Number	:	832-282-3574
Fax Number	:

Provider Business Practice Location Address
First Line	:	10307 RIPPLEWAVE DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-1626
Country	:	US
Telephone Number	:	832-282-3574
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2021
Last Update Date	:	05/13/2026

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