Individual
MS. ANTONIA FAITH OSIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CADC II, CCJP,
Contact information
Practice address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(562) 216-4900
Mailing address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(562) 216-4900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A4005007
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCJP 960109
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
IACC 194
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2011
Last updated
03/15/2016
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