Provider Demographics
NPI:1669952636
Name:ONUKOGU, JOY (LPC)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:ONUKOGU
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6262 NORTH DR APT 1W
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-3366
Mailing Address - Country:US
Mailing Address - Phone:314-288-9849
Mailing Address - Fax:
Practice Address - Street 1:6262 NORTH DR APT 1W
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130-3366
Practice Address - Country:US
Practice Address - Phone:314-288-9849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-18
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017022391101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional