Individual
OLUSOJI FATOKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 789-8030
Mailing address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 235-4709
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304884
MN
Other
Enumeration date
10/09/2020
Last updated
08/19/2021
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