Provider Demographics
NPI:1518743749
Name:UMUNA, CHIGOZIRI (LPC, ACS)
Entity Type:Individual
Prefix:DR
First Name:CHIGOZIRI
Middle Name:
Last Name:UMUNA
Suffix:
Gender:M
Credentials:LPC, ACS
Other - Prefix:DR
Other - First Name:CHIGGIE
Other - Middle Name:
Other - Last Name:UMUNA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8 BARNUM DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-8609
Mailing Address - Country:US
Mailing Address - Phone:478-363-1415
Mailing Address - Fax:
Practice Address - Street 1:8 BARNUM DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-8609
Practice Address - Country:US
Practice Address - Phone:478-363-1415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007056101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional