Provider Demographics
NPI:1629859392
Name:APAKAMA, NKECHI ANNE (AMFT)
Entity Type:Individual
Prefix:
First Name:NKECHI
Middle Name:ANNE
Last Name:APAKAMA
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6061 MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-2413
Mailing Address - Country:US
Mailing Address - Phone:714-757-6959
Mailing Address - Fax:
Practice Address - Street 1:6061 MARSHALL AVE
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-2413
Practice Address - Country:US
Practice Address - Phone:714-757-6959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT140408106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty