Individual
LATEEF AKEREDOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
1268 FOREST AVE, STATEN ISLAND, NY 10302-2312
(718) 981-8117
Mailing address
37 ARCADIA PL APT 1C, STATEN ISLAND, NY 10310-2273
(917) 756-7621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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