Individual provider · NPI-1

Ayaovi Amezotchi

Counselor, Professional · Schaumburg, IL

NPI number1407347479
StatusActive
Last updated in NPPESAug 26, 2020

Details

NPI
1407347479
Entity type
Individual (NPI-1)
Name
Ayaovi Amezotchi
Sex
Male
Sole proprietor
Yes
Enumeration date
May 24, 2018
Certification date
Aug 26, 2020
Last updated
Aug 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional180.009204ILYes

Practice location

1325 Remington Rd Ste R
Schaumburg, IL 60173-4815

Phone 646-483-6819

Mailing address

590 E Thorndale Ln
South Elgin, IL 60177-3205

Phone 630-674-2405

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