person
Ajijolola Fawole
Mental Health Counselor in Ketchikan, Alaska
NPI 1528846433

Ajijolola Fawole is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Ajijolola Fawole practices in Ketchikan, AK. The NPI Number for Ajijolola Fawole is 1528846433 and holds a License No. (Alaska).

The current practice location address for Ajijolola Fawole is 606 Hill Rd, Ketchikan, AK and can be reached out via phone at 907-202-8684 and via fax at 907-202-8684.

Location: 606 Hill Rd, Ketchikan, AK, 99901-2475
person
Provider Profile Details
NPI Number
1528846433
Provider Name
Ajijolola Fawole
Credential
Provider Entity Type
Individual
Gender
Female
Address
606 Hill Rd, Ketchikan, AK, 99901-2475
Phone Number
907-202-8684
Fax Number
907-202-8684
Provider Enumeration Date
09/20/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17013638 05 AK
1713721 05 AK
institution
Provider Business Practice Location Address Details
Address
606 Hill Rd
City
State
Zip
99901-5343
Phone Number
907-202-8684
Fax Number
907-202-8684
person
Provider Business Mailing Address Details
Address
606 Hill Rd
City
State
Zip
99901-5343
Phone Number
907-202-8684
Fax Number
907-202-8684
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Alaska)
Definition
Definition to come...
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