Provider Demographics
NPI:1811692502
Name:OKOJIE, GEORGE ABUMERE
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:ABUMERE
Last Name:OKOJIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 DONN CT
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9672
Mailing Address - Country:US
Mailing Address - Phone:561-563-0237
Mailing Address - Fax:
Practice Address - Street 1:13 DONN CT
Practice Address - Street 2:
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9672
Practice Address - Country:US
Practice Address - Phone:561-563-0237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No172V00000XOther Service ProvidersCommunity Health Worker