Individual
MRS. OLUWAKEMI IYABO AMOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCMHC
Contact information
Practice address
1073 BULLARD CT, RALEIGH, NC 27615-6867
(888) 557-4080
(919) 249-2150
Mailing address
8612 NEUSE STONE DR, RALEIGH, NC 27616-7886
(919) 452-1577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7110
NC
251S00000X
Community/Behavioral Health Agency
7110
NC
Other
Enumeration date
09/25/2008
Last updated
10/07/2021
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