Individual
CYNOVAH SHANTE OLASEHINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, MS
Contact information
Practice address
5355 CIDER MILL LN APT 2A, LAWRENCE, IN 46226-1851
(405) 882-9419
Mailing address
5355 CIDER MILL LN APT 2A, LAWRENCE, IN 46226-1851
(405) 882-9419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
06/07/2011
Last updated
05/31/2023
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