Individual
DR. JOSEPH OLATUNDE ADEDOKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
432 E LONG AVE STE 1, GASTONIA, NC 28054-2540
(704) 854-9595
(704) 852-4488
Mailing address
1003 E MAIN ST, DALLAS, NC 28034-9376
(704) 922-0012
(704) 852-4488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111767
—
NC
Enumeration date
12/11/2006
Last updated
07/09/2007
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