Provider Demographics
NPI:1992136139
Name:IGWESI, SIMEON OKOLO (LPC)
Entity type:Individual
Prefix:MR
First Name:SIMEON
Middle Name:OKOLO
Last Name:IGWESI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
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Mailing Address - Street 1:10070 WESTPARK DR APT 820
Mailing Address - Street 2:820
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-5749
Mailing Address - Country:US
Mailing Address - Phone:832-373-6276
Mailing Address - Fax:713-244-0923
Practice Address - Street 1:1454 CAMPBELL RD
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4604
Practice Address - Country:US
Practice Address - Phone:832-373-6276
Practice Address - Fax:713-244-0923
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX68726101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional