Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Oghenefejiro M Etibo

Individual provider Marriage & Family Therapist · NPI 1336763325

Oghenefejiro M Etibo is a Marriage & Family Therapist in New York, New York. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

5 W 19th St Rm 3R
New York, NY 10011-4238
Phone: (510) 712-0016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Po Box 746877, Atlanta, GA 30374-6877 — (510) 712-0016

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 148142 (CA)

Record details

NPI number1336763325
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

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