Provider Demographics
NPI:1649323668
Name:WAMAH, LINUS NWAKANMA
Entity type:Individual
Prefix:MR
First Name:LINUS
Middle Name:NWAKANMA
Last Name:WAMAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8404 S COURSE DR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-4498
Mailing Address - Country:US
Mailing Address - Phone:281-856-7257
Mailing Address - Fax:281-856-7257
Practice Address - Street 1:8404 S COURSE DR
Practice Address - Street 2:SUITE 401
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-4498
Practice Address - Country:US
Practice Address - Phone:281-856-7257
Practice Address - Fax:281-856-7257
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor