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George Olorunfemi Adeola Olusa, CHAPLAIN/PASTOR
Counselor in Chandler, Arizona
NPI 1528667953

George Olorunfemi Adeola Olusa is a Counselor based in Chandler, AZ. George Olorunfemi Adeola Olusa practices in Chandler, AZ and has the professional credentials of CHAPLAIN/PASTOR. The NPI Number for George Olorunfemi Adeola Olusa is 1528667953 and holds a License No. D04019037 (Arizona).

The current practice location address for George Olorunfemi Adeola Olusa is 5651 S Mesquite Grove Way, Chandler, AZ and can be reached out via phone at 480-240-0412.

Location: 5651 S Mesquite Grove Way, Chandler, AZ, 85248-0022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528667953
Provider Name
George Olorunfemi Adeola Olusa
Credential
CHAPLAIN/PASTOR
Provider Entity Type
Individual
Gender
Male
Address
5651 S Mesquite Grove Way, Chandler, AZ, 85248-0022
Phone Number
480-240-0412
Fax Number
Provider Enumeration Date
10/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D04019037 01 AZ AZ STATE MVD
institution
Provider Business Practice Location Address Details
Address
5651 S Mesquite Grove Way
City
Chandler
State
Arizona
Zip
85249-9670
Phone Number
480-240-0412
Fax Number
person
Provider Business Mailing Address Details
Address
5651 S Mesquite Grove Way
City
Chandler
State
Arizona
Zip
85249-9670
Phone Number
480-240-0412
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
D04019037 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
D04019037 (Arizona)
Definition
Definition to come...
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