Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1053738153 |
---|---|
Provider Name | Mr. Abraham Asare |
First Address | Oklahoma City, OK 73114-8161 |
Second Address | Oklahoma City, OK 73114-8161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2014 |
Last Update Date | 26/03/2014 |