Individual
MS. YEJIDE MUHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(857) 928-1628
Mailing address
33 SUMMER ST, PAWTUCKET, RI 02860-2964
(617) 586-5762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDS00103
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC1
MA
Other
Enumeration date
03/06/2014
Last updated
09/27/2021
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