Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003368614 |
---|---|
Provider Name | Olanrewaju Akande |
First Address | Oklahoma City, OK 73113-0191 |
Second Address | Yukon, OK 73099-8678 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2016 |
Last Update Date | 30/10/2016 |