Provider Demographics
NPI:1841402807
Name:OKAFOR, ASIA MARIA (LVN)
Entity Type:Individual
Prefix:
First Name:ASIA
Middle Name:MARIA
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 S LA BREA AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90056-1863
Mailing Address - Country:US
Mailing Address - Phone:323-298-3050
Mailing Address - Fax:323-298-3083
Practice Address - Street 1:5012 S LA BREA AVE STE 3
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90056-1863
Practice Address - Country:US
Practice Address - Phone:323-298-3050
Practice Address - Fax:323-298-3083
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7094101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor