Individual
ADEOLA OMEDELE AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
187-09 LINDEN BLVD, SAINT ALBANS, NY 11412-4025
(718) 500-5549
Mailing address
189-09 LINDEN BLVD, ST. ALBANS, NY 11412
(718) 500-5549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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