Individual
MR. OLULEYE ADIGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MCAP, PHD CANDID
Contact information
Practice address
100 NW 170TH ST STE 101, NORTH MIAMI BEACH, FL 33169-5510
(786) 785-0585
(786) 780-2145
Mailing address
11924 NW 12TH ST, PEMBROKE PINES, FL 33026-3856
(954) 709-8341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-002941-2014
FL
101YM0800X
Mental Health Counselor
CMHP100005
FL
101YP2500X
Professional Counselor
ADC-002941-2014
FL
261QC1500X
Community Health Clinic/Center
Primary
MCAP100646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A325658804590
—
FL
Enumeration date
10/26/2017
Last updated
05/13/2019
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