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NPI Code Detail

MEDICARE: DR. ANTHONY IFEDIORA CHUKWUNTA

MEDICARE:  DR. ANTHONY IFEDIORA CHUKWUNTA
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
1101YM0800XMental Health CounselorMC60250440WA

General Provider Information

NPI Number : 1750705703
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY IFEDIORA CHUKWUNTA
Provider Business Mailing Address
First Line : 4600 BEECHWOOD ST APT 48
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-6489
Country : US
Telephone Number : 206-229-7227
Fax Number :
Provider Business Practice Location Address
First Line : 3204 SMOKEY POINT DR STE 205
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-8476
Country : US
Telephone Number : 360-674-0787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2014
Last Update Date : 12/04/2025

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Directions to “ DR. ANTHONY IFEDIORA CHUKWUNTA ” Practice Location

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