Provider Demographics
NPI:1548563372
Name:OFINA, MADELINE STEPHANIE
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:STEPHANIE
Last Name:OFINA
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 1:4175 LAKESIDE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94806-1950
Mailing Address - Country:US
Mailing Address - Phone:916-220-9645
Mailing Address - Fax:
Practice Address - Street 1:4175 LAKESIDE DR STE 110
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-1950
Practice Address - Country:US
Practice Address - Phone:916-220-9645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-16
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health