Individual
ADEOLU JOHN AJIBOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RC
Contact information
Practice address
725 AIRPORT RD, LAKEWOOD, NJ 08701-5968
(732) 458-1700
Mailing address
725 AIRPORT RD, LAKEWOOD, NJ 08701-5968
(732) 458-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
05/01/2019
Last updated
05/01/2019
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