Provider Demographics
NPI:1508577446
Name:NGALE NGAKO, CHRISTELLE JOSIANE
Entity Type:Individual
Prefix:
First Name:CHRISTELLE JOSIANE
Middle Name:
Last Name:NGALE NGAKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 S MASON MONTGOMERY RD # 1014
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9759
Mailing Address - Country:US
Mailing Address - Phone:513-400-9356
Mailing Address - Fax:
Practice Address - Street 1:7764 LAKOTA HILL DRIVE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069
Practice Address - Country:US
Practice Address - Phone:513-400-9356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty