Provider Demographics
NPI:1053738153
Name:ASARE, ABRAHAM (REV)
Entity type:Individual
Prefix:MR
First Name:ABRAHAM
Middle Name:
Last Name:ASARE
Suffix:
Gender:M
Credentials:REV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NE 122ND ST APT 3807
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-8161
Mailing Address - Country:US
Mailing Address - Phone:630-235-7717
Mailing Address - Fax:405-478-4352
Practice Address - Street 1:700 NE 122ND ST APT 3807
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-8161
Practice Address - Country:US
Practice Address - Phone:630-235-7717
Practice Address - Fax:405-478-4352
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist