Individual
ADEDAMOLA FAWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 FRANKFORD AVE, PHILADELPHIA, PA 19124-3602
(215) 831-9882
Mailing address
48 JONQUIL WAY, SICKLERVILLE, NJ 08081-4100
(267) 442-8415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC015942
PA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC015942
PA
Other
Enumeration date
04/26/2022
Last updated
10/24/2023
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