Provider Demographics
NPI:1447791777
Name:OJEBUOBOH, FAITH
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:OJEBUOBOH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 S GRAND BAKER ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-4451
Mailing Address - Country:US
Mailing Address - Phone:720-238-2498
Mailing Address - Fax:
Practice Address - Street 1:7850 S GRAND BAKER ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-4451
Practice Address - Country:US
Practice Address - Phone:720-238-2498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health