Individual ProviderKrista OkanumeCounselorBehavioral Health & Social Service ProvidersPractice Address2905 Mitchellville Rd, Bowie, MD 20716-1385(301) 701-6965PECOS EnrollmentBased on the most recent information from CMS, provider Krista Okanume does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1629817465Provider TypeIndividualFull NameOkanume, KristaGenderFemaleSole ProprietorNoEnumeration Date5/21/2024Last Updated5/21/2024Contact InformationPractice LocationPractice Address2905 Mitchellville Rd, Bowie, MD 20716-1385Phone(301) 701-6965FaxUnlisted FaxMailing LocationMailing Address14111 Mary Bowie Pkwy, Upper Marlboro, MD 20774-8572PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLGP15102Maryland