Provider Demographics
NPI:1841801412
Name:TOO-CHIOBI, IJEOMA CHINWE (MSC)
Entity Type:Individual
Prefix:
First Name:IJEOMA
Middle Name:CHINWE
Last Name:TOO-CHIOBI
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11467 HUEBNER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1595
Mailing Address - Country:US
Mailing Address - Phone:210-954-1847
Mailing Address - Fax:210-451-7490
Practice Address - Street 1:11467 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1595
Practice Address - Country:US
Practice Address - Phone:210-954-1847
Practice Address - Fax:210-451-7490
Is Sole Proprietor?:No
Enumeration Date:2020-08-16
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80896101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional