Individual
ADEKUNLE MICHAEL DADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
1268 FOREST AVE, STATEN ISLAND, NY 10302-2312
(347) 755-6319
Mailing address
1268 FOREST AVE, STATEN ISLAND, NY 10302-2312
(347) 755-6319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
40673
NY
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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