Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 72587 | TX |
N | 101YM0800X | Mental Health Counselor | 72587 | TX |
Y | 101YP2500X | Professional Counselor | 72587 | TX |
N | 101YS0200X | School Counselor | TX |
NPI | 1013568054 |
---|---|
Provider Name | Mrs. Adepeju Okolo |
First Address | Farmers Branch, TX 75234-6298 |
Second Address | Farmers Branch, TX 75234-6298 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2019 |
Last Update Date | 20/09/2019 |