Individual
JULIUS OMONDI OKEYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5217 S 30TH AVE, PHOENIX, AZ 85041-3419
(301) 917-4481
Mailing address
5217 S 30TH AVE, PHOENIX, AZ 85041-3419
(301) 917-4481
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2023
Last updated
03/08/2023
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