Provider Demographics
NPI:1255986774
Name:OKONA, NNENA GRACE
Entity type:Individual
Prefix:
First Name:NNENA
Middle Name:GRACE
Last Name:OKONA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NNENNA
Other - Middle Name:GRACE
Other - Last Name:OKONA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2601 16TH ST NW APT 716
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6262
Mailing Address - Country:US
Mailing Address - Phone:678-910-2455
Mailing Address - Fax:
Practice Address - Street 1:3301 WHEELER RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4129
Practice Address - Country:US
Practice Address - Phone:240-343-9473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool