Individual
MARION L OGUNUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1910 ARTHUR AVE FL 4, BRONX, NY 10457-6305
(718) 583-5150
Mailing address
770 E 176TH ST FL 3, BRONX, NY 10460-4617
(347) 205-3759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
06/13/2024
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