Gwendolyn Onumah-Onikoro | Bloomington, MN • PECOS Search

Gwendolyn Onumah-Onikoro

Counselor

Behavioral Health & Social Service Providers

8040 Old Cedar Ave S Ste 101, Bloomington, MN 55425-1211

(952) 992-9803 (612) 414-7314

PECOS Enrollment

Based on the most recent information from CMS, provider Gwendolyn Onumah-Onikoro does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1144666090
Provider Type
Individual
Full Name
Onumah-Onikoro, Gwendolyn
Title
Ms.
Credential
LICSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/20/2013
Last Updated
5/8/2018

Contact Information

Practice Location

8040 Old Cedar Ave S Ste 101, Bloomington, MN 55425-1211

Unlisted Fax

Mailing Location

2265 Youngman Ave Apt 105e, Saint Paul, MN 55116-4400

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 11184 Minnesota