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Mary Oluwatosin Adefalu
Counselor in Lagrange, Georgia
NPI 1538884960

Mary Oluwatosin Adefalu is a Counselor based in Lagrange, GA. Mary Oluwatosin Adefalu practices in Lagrange, GA. The NPI Number for Mary Oluwatosin Adefalu is 1538884960 and holds a License No. (Georgia).

The current practice location address for Mary Oluwatosin Adefalu is 122 Gordon Commercial Dr, Lagrange, GA and can be reached out via phone at 706-845-4045 and via fax at 706-845-4367. You can also correspond with Mary Oluwatosin Adefalu through the mailing address at 122 GORDON COMMERCIAL DR, LAGRANGE, GA - 30240-5754 (mailing address contact number: 706-845-4045).

Location: 122 Gordon Commercial Dr, Lagrange, GA, 30240-5754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538884960
Provider Name
Mary Oluwatosin Adefalu
Credential
Provider Entity Type
Individual
Gender
Female
Address
122 Gordon Commercial Dr, Lagrange, GA, 30240-5754
Phone Number
706-845-4045
Fax Number
706-845-4367
Provider Enumeration Date
10/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
122 Gordon Commercial Dr
City
Lagrange
State
Georgia
Zip
30240-5754
Phone Number
706-845-4045
Fax Number
706-845-4367
person
Provider Business Mailing Address Details
Address
122 Gordon Commercial Dr
City
Lagrange
State
Georgia
Zip
30240-5754
Phone Number
706-845-4045
Fax Number
706-845-4367
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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