Individual provider · Type 1 NPI

Olukunle Abiodun Fagbenro, DO

Counselor · Newark, NJ

NPI number 1447004155 Active

Practice location

729 S 18th Street
Newark, NJ 07103

Call (862) 220-9269 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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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About NPI 1447004155

Olukunle Abiodun Fagbenro, DO's National Provider Identifier is 1447004155, issued on Apr 17, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Newark, NJ. The record was last updated on Apr 17, 2024.