Provider Demographics
NPI:1447826995
Name:KONKWO, CAROLINE EBERECHI JR (MENTAL HEALTH COUNSE)
Entity type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:EBERECHI
Last Name:KONKWO
Suffix:JR
Gender:F
Credentials:MENTAL HEALTH COUNSE
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Mailing Address - Street 1:744 PARK AVE APT 13E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5261
Mailing Address - Country:US
Mailing Address - Phone:347-353-4020
Mailing Address - Fax:
Practice Address - Street 1:121 NEWARK AVE STE 503
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-5873
Practice Address - Country:US
Practice Address - Phone:646-204-2295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health