Individual
BOLAJI JOHNSON ADESANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 MAIN ST STE 200, KLAMATH FALLS, OR 97601-6010
(541) 647-1945
Mailing address
714 MAIN ST STE 200, KLAMATH FALLS, OR 97601-6010
(541) 647-1945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
22-QMHP-R-1638
OR
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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