Individual
DESMOND NKEFUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 SOUTH BOULEVARD SUIT 103, EDMOND, OK 73034
(580) 272-4893
Mailing address
920 S BOULEVARD STE 103, EDMOND, OK 73034-4731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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