Individual provider · Type 1 NPI

Olufunso Tosin Bamiduro

Mental Health Counselor · Roxbury, MA

NPI number 1114574282 Active

Practice location

520 Dudley St
Roxbury, MA 02119-2769

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1114574282

Olufunso Tosin Bamiduro's National Provider Identifier is 1114574282, issued on Aug 22, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roxbury, MA. The record was last updated on Aug 22, 2019.