Individual
MRS. ADWOA AGNES SEFA-BOAKYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1890 N GAREY AVE, POMONA, CA 91767-2923
(909) 629-2400
Mailing address
16076 PETERSON CT, CHINO HILLS, CA 91709-7913
(909) 248-1132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICAN861
LA COUNTY DMH
CA
Enumeration date
09/02/2009
Last updated
09/02/2009
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