Provider Demographics
NPI:1073620514
Name:POLITE, OKEEMA N (MA)
Entity Type:Individual
Prefix:MRS
First Name:OKEEMA
Middle Name:N
Last Name:POLITE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:OKEEMA
Other - Middle Name:N
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CA
Mailing Address - Zip Code:95686-0275
Mailing Address - Country:US
Mailing Address - Phone:916-346-5350
Mailing Address - Fax:916-244-7196
Practice Address - Street 1:7000 FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-1820
Practice Address - Country:US
Practice Address - Phone:916-346-5350
Practice Address - Fax:916-244-7196
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43204106H00000X
CAMFC 43204106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist