Adijat Jassmia Agbo-Ola, M.ED
Individual provider Active NPI Professional Counselor · Capitol Heights, MD
NPI 1053762054 · NPPES record last updated Dec 15, 2023
Key facts
- NPI
- 1053762054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 4204 Alton St
Capitol Heights, MD 20743-5802 - Phone
- (757) 753-7525
- NPI assigned
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
4204 Alton St
Capitol Heights, MD 20743-5802
Mailing address
4204 Alton St
Capitol Heights, MD 20743-5802
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LC13330 | Other | MD | LCPC - MARYLAND COUNSELING LICENSE NUMBER |
Other providers in Capitol Heights, MD
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- Adventures One, Inc
- Adventures One, Inc.
- Johnson Olawole Afobiyeye
- Janet Ranti Aiyegbusi
- Akinwale Ajiwe
- Elizabeth Akanji
- Ronke Rachel Akinbobola
- Yetunde Akinboye
All providers in Capitol Heights, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.