Individual provider · Type 1 NPI

Oluwatoniloba Fakunle

Addiction (Substance Use Disorder) Counselor · Gardena, CA

NPI number 1588122014 Active

Practice location

1149 W 190th St Ste 2200
Gardena, CA 90248-4344

Call (310) 856-0800 Map

Fax (855) 568-2494

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1588122014

Oluwatoniloba Fakunle's National Provider Identifier is 1588122014, issued on Mar 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gardena, CA. The record was last updated on Nov 2, 2022.