Individual
ADELOLA IGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27200 TOURNEY RD, SANTA CLARITA, CA 91355-4990
(661) 705-4670
Mailing address
27200 TOURNEY RD STE 175, SANTA CLARITA, CA 91355-4990
(661) 705-4670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
ASW117553
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/22/2021
Last updated
09/08/2023
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