Individual
ANDRE FOKOUANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 I ST NE APT 6, WASHINGTON, DC 20002-3240
(202) 848-9047
Mailing address
2101 I ST NE APT 6, WASHINGTON, DC 20002-3240
(202) 848-9047
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/03/2023
Last updated
07/17/2023
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