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Olusoji Fatokun
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1669070942

Olusoji Fatokun is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Olusoji Fatokun practices in Minneapolis, MN. The NPI Number for Olusoji Fatokun is 1669070942 and holds a License No. 304884 (Minnesota).

The current practice location address for Olusoji Fatokun is 1404 Central Ave Ne, Minneapolis, MN and can be reached out via phone at 612-789-8030.

Location: 1404 Central Ave Ne, Minneapolis, MN, 55413-1517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669070942
Provider Name
Olusoji Fatokun
Credential
Provider Entity Type
Individual
Gender
Male
Address
1404 Central Ave Ne, Minneapolis, MN, 55413-1517
Phone Number
612-789-8030
Fax Number
Provider Enumeration Date
10/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1404 Central Ave Ne
City
Minneapolis
State
Minnesota
Zip
55413-1517
Phone Number
612-789-8030
Fax Number
person
Provider Business Mailing Address Details
Address
1404 Central Ave Ne
City
Minneapolis
State
Minnesota
Zip
55413-1517
Phone Number
612-789-8030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
304884 (Minnesota)
Definition
Definition to come...
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