Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 4202 | LA |
NPI | 1306119565 |
---|---|
Provider Name | Mr. Hyacinth C Okafor |
First Address | New Orleans, LA 70118-1115 |
Second Address | New Orleans, LA 70118-1115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2012 |
Last Update Date | 20/02/2012 |