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Boladale Wuraola Adegoroye
Mental Health Counselor in Pasadena, Maryland
NPI 1790174506

Boladale Wuraola Adegoroye is a Mental Health Counselor based in Pasadena, MD and is specialized in Mental Health. Boladale Wuraola Adegoroye practices in Pasadena, MD. The NPI Number for Boladale Wuraola Adegoroye is 1790174506 and holds a License No. LC7193 (Maryland).

The current practice location address for Boladale Wuraola Adegoroye is 768 Duvall Hwy, Pasadena, MD and can be reached out via phone at 240-481-9962.

Location: 768 Duvall Hwy, Pasadena, MD, 21123-0444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790174506
Provider Name
Boladale Wuraola Adegoroye
Credential
Provider Entity Type
Individual
Gender
Female
Address
768 Duvall Hwy, Pasadena, MD, 21123-0444
Phone Number
240-481-9962
Fax Number
Provider Enumeration Date
01/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1155938 00 05 MD
institution
Provider Business Practice Location Address Details
Address
768 Duvall Hwy
City
Pasadena
State
Maryland
Zip
21122-1620
Phone Number
240-481-9962
Fax Number
person
Provider Business Mailing Address Details
Address
768 Duvall Hwy
City
Pasadena
State
Maryland
Zip
21122-1620
Phone Number
240-481-9962
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LC7193 (Maryland)
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
Mental Health
Taxonomy
101YM0800X
License No.
LC7193 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LC7193 (Maryland)
Definition
Definition to come...
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