Provider Demographics
NPI:1184226110
Name:KOJO NGORO COUNSELING AND CONSULTING PLLC
Entity Type:Organization
Organization Name:KOJO NGORO COUNSELING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AJ
Authorized Official - Middle Name:
Authorized Official - Last Name:DELONEY
Authorized Official - Suffix:IV
Authorized Official - Credentials:LCSW
Authorized Official - Phone:929-525-4357
Mailing Address - Street 1:1616 E 50TH PL APT 8D
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-3111
Mailing Address - Country:US
Mailing Address - Phone:708-297-8703
Mailing Address - Fax:
Practice Address - Street 1:1616 E 50TH PL APT 8D
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-3111
Practice Address - Country:US
Practice Address - Phone:929-525-4357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty