Individual
AYOWOLE ADEOTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS. LCDC
Contact information
Practice address
7457 HARWIN DR STE 303H, HOUSTON, TX 77036-2027
(832) 649-8038
(832) 831-1655
Mailing address
7457 HARWIN DR STE 303H, HOUSTON, TX 77036-2027
(832) 649-3083
(832) 831-1655
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
4265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336641638
—
TX
Enumeration date
01/07/2020
Last updated
11/13/2020
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