Individual provider · Type 1 NPI

Olutoyin Fasosin, LGPC, NCC

Mental Health Counselor · Columbia, MD

NPI number 1114601358 Active

Practice location

8894 Stanford Blvd
Columbia, MD 21045-4794

Mailing address

3375 Ellicott Center Dr # 2361
Ellicott City, MD 21043-4100

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114601358

Olutoyin Fasosin, LGPC, NCC's National Provider Identifier is 1114601358, issued on Jun 8, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, MD. The record was last updated on Jun 8, 2023.