| Doctor Name: | MR. MICHAEL OFORI ASAKU-YEBOAH |
| NPI Number: | 1053725630 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.C.A.D.C |
| License Number: | 37LC00212100 |
| Business Practice Address: | 405 Westfield Rd Scotch Plains, NJ - 070761806 |
| Business Phone Number: | 9732208004 |
| Business Fax Number: | |
| Mailing Address: | 640 Eagle Rock Ave, WEST ORANGE |
| State: | NJ |
| Postal Code: | 070522931 |
| Phone Number: | 9086560122 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2014 |
| NPI Last Update Date: | 06/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00212100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |