Provider Demographics
NPI:1285305201
Name:EKWUEME, CHINYERE J (LMHCA)
Entity type:Individual
Prefix:
First Name:CHINYERE
Middle Name:J
Last Name:EKWUEME
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:CHINYERE
Other - Middle Name:J
Other - Last Name:EZEOKEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHCA
Mailing Address - Street 1:4111 ALDERWOOD MALL BLVD
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6765
Mailing Address - Country:US
Mailing Address - Phone:425-977-2560
Mailing Address - Fax:425-977-2561
Practice Address - Street 1:4111 ALDERWOOD MALL BLVD
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6765
Practice Address - Country:US
Practice Address - Phone:435-977-2560
Practice Address - Fax:425-977-2561
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61182103101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health