person
Mr. Modebola Fadare
Professional Counselor in Oklahoma City, Oklahoma
NPI 1063754182

Modebola Fadare is a Professional Counselor based in Oklahoma City, OK and is specialized in Professional. Modebola Fadare practices in Oklahoma City, OK. The NPI Number for Modebola Fadare is 1063754182 and holds a License No. (Oklahoma).

The current practice location address for Modebola Fadare is 9210 S Western Ave, Oklahoma City, OK and can be reached out via phone at 405-246-9259 and via fax at 405-606-7893.

Location: 9210 S Western Ave, Oklahoma City, OK, 73139-4982
person
Provider Profile Details
NPI Number
1063754182
Provider Name
Modebola Fadare
Credential
Provider Entity Type
Individual
Gender
Male
Address
9210 S Western Ave, Oklahoma City, OK, 73139-4982
Phone Number
405-246-9259
Fax Number
405-606-7893
Provider Enumeration Date
03/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9210 S Western Ave
City
State
Zip
73139-4982
Phone Number
405-246-9259
Fax Number
405-606-7893
person
Provider Business Mailing Address Details
Address
9210 S Western Ave
City
State
Zip
73139-4982
Phone Number
405-246-9259
Fax Number
405-606-7893
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6107 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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