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NPI Code Detail

MEDICARE: SAFARATU OKOLO

MEDICARE: SAFARATU OKOLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2171M00000XCase Manager/Care Coordinator
3225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1578201448
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAFARATU OKOLO
Provider Business Mailing Address
First Line : 11 TATUM CT
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-1215
Country : US
Telephone Number : 510-213-4710
Fax Number :
Provider Business Practice Location Address
First Line : 1085 SANDRINGHAM WAY
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-5321
Country : US
Telephone Number : 916-642-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2022
Last Update Date : 04/23/2025

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Directions to “ SAFARATU OKOLO ” Practice Location

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