Individual
FOLA PIUS AKINNUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 33RD AVE S APT 105, FARGO, ND 58104-6571
(302) 250-6189
Mailing address
2201 33RD AVE S APT 105, FARGO, ND 58104-6571
(302) 250-6189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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