IFEANYI JIMMY NPI 1679189724

NPI Information

NPI: 1679189724
Provider Name: IFEANYI JIMMY
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
302 CHERRY LN
MANTECA, CA
ZIP 95337
Phone: (530) 893-0758
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Ifeanyi Jimmy is a mental health counselor in Manteca, CA. Ifeanyi Jimmy NPI is 1679189724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

302 CHERRY LN
MANTECA, CA
ZIP 95337-311
Phone: (530) 893-0758

The enumeration date for this NPI number is 9/23/2020 and was last updated on 9/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	101YM0800X	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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