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NPI Code Detail

MEDICARE: LEONARD NWAGWU

MEDICARE:   LEONARD  NWAGWU
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 Counselor11038OK

General Provider Information

NPI Number : 1760732499
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARD NWAGWU
Provider Business Mailing Address
First Line : 1609 GREENBRIAR PL
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7640
Country : US
Telephone Number : 405-753-3683
Fax Number :
Provider Business Practice Location Address
First Line : 1609 GREENBRIAR PL
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7640
Country : US
Telephone Number : 405-753-3683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2012
Last Update Date : 02/13/2026

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Directions to “ LEONARD NWAGWU ” Practice Location

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