Individual
KAYODE ILESANMI AYODABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADDICTION COUNSELOR
Contact information
Practice address
1203 BRANDT ST STE F, GREENSBORO, NC 27407-3505
(336) 905-7688
Mailing address
7144 TEXAS BLVD, THOMASVILLE, NC 27360-5382
(336) 313-6733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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