Individual
MR. ISAAC ABIOYE OLASUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC
Contact information
Practice address
2116 N CHARLES ST, SUIT 300, BALTIMORE, MD 21218-5758
(410) 244-0331
(410) 244-7364
Mailing address
6510 JODIE ST, NEW CARROLLTON, MD 20784-3636
(301) 345-4787
(301) 345-5310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MD
101YM0800X
Mental Health Counselor
—
MD
103TB0200X
Cognitive & Behavioral Psychologist
Primary
408449700, 409426300
MD
103TR0400X
Rehabilitation Psychologist
—
MD
Other
Enumeration date
07/08/2006
Last updated
09/11/2025
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