Individual
ABISOLA OSIFADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 BENFIELD BLVD STE B, MILLERSVILLE, MD 21108-2644
(410) 863-7213
(410) 863-7205
Mailing address
804 LANDMARK DR STE 118, GLEN BURNIE, MD 21061-4486
(410) 863-7213
(410) 863-7205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699028787
NPI
MD
Enumeration date
10/26/2012
Last updated
06/02/2021
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