Individual
ADEBISI ADEWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 TELEGRAPH AVE, OAKLAND, CA 94609-1359
(510) 923-1099
Mailing address
6333 TELEGRAPH AVE, OAKLAND, CA 94609-1359
(510) 923-1099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111
MEDI-CAL
CA
Enumeration date
10/18/2019
Last updated
10/18/2019
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