Femi Adwale Adegbaju

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK

NPI 1265717359 · NPPES record last updated Oct 20, 2011

Key facts

NPI
1265717359
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
3621 N Kelley Ave
100
Oklahoma City, OK 73111-4520
Phone
(405) 524-5525
NPI assigned
Oct 20, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

3621 N Kelley Ave
100
Oklahoma City, OK 73111-4520

Mailing address

PO Box 20812
Oklahoma City, OK 73156-0812
Phone (520) 243-3764

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.