Provider Demographics
NPI:1215427661
Name:OYARO, OROKO MAGETO (CADC)
Entity type:Individual
Prefix:MR
First Name:OROKO
Middle Name:MAGETO
Last Name:OYARO
Suffix:
Gender:M
Credentials:CADC
Other - Prefix:MR
Other - First Name:LUCAS
Other - Middle Name:OYARO
Other - Last Name:MAGETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CADC
Mailing Address - Street 1:1423 CAPITOL TRAIL
Mailing Address - Street 2:POLLY DRUMMOND PLAZA BUILDING 3
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1423 CAPITOL TRAIL
Practice Address - Street 2:POLLY DRUMMOND PLAZA BUILDING 3
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711
Practice Address - Country:US
Practice Address - Phone:302-454-7520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)