Provider Demographics
NPI:1467672360
Name:OCANSEY, NII AHUMA
Entity Type:Individual
Prefix:MR
First Name:NII
Middle Name:AHUMA
Last Name:OCANSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:NII
Other - Middle Name:AHUMA
Other - Last Name:OCANSEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 352257
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-0258
Mailing Address - Country:US
Mailing Address - Phone:323-935-0663
Mailing Address - Fax:323-935-0663
Practice Address - Street 1:155 W WASHINGTON BLVD
Practice Address - Street 2:SUITE 517
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3552
Practice Address - Country:US
Practice Address - Phone:323-935-0663
Practice Address - Fax:323-935-0663
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor