Individual
ADELEKE IBIRONKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 CLEMETIS CT, OWINGS MILLS, MD 21117-5032
(443) 929-3667
Mailing address
12 CLEMETIS CT, OWINGS MILLS, MD 21117-5032
(443) 929-3667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
167G00000X
Licensed Psychiatric Technician
—
—
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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