Omoike Eric Aizenofe, M.Div. BCC
Counselor, Pastoral in Grand Prairie, TX. Individual provider (NPI-1).
NPI number1982433132
StatusActive
Last updated in NPPESJul 27, 2024
Details
- NPI
- 1982433132
- Entity type
- Individual (NPI-1)
- Name
- Omoike Eric Aizenofe
- Credential
- M.Div. BCC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2024
- Certification date
- Jul 27, 2024
- Last updated
- Jul 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP1600X | Counselor, Pastoral | – | – | Yes |
Practice location
145 W Pioneer Pkwy Apt 2022Grand Prairie, TX 75051-4977
Phone 325-232-4205
Mailing address
Po Box 530513Grand Prairie, TX 75053-0513
Phone 325-232-4205
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