Individual provider · Type 1 NPI

Omoruyi Ephraim Okundaye, MSW, LCSW-C, LCADC

Mental Health Counselor · Baltimore, MD

NPI number 1871900845 Active

Practice location

16 W 25th St
Baltimore, MD 21218-5002

Call (443) 682-5807 Map

Mailing address

PO Box 7921
Essex, MD 21221-0921

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCA369 (MD)
Mental Health Counselor Primary 101YM0800XLC17618 (MD)
Pastoral Counselor 101YP1600XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1871900845

Omoruyi Ephraim Okundaye, MSW, LCSW-C, LCADC's National Provider Identifier is 1871900845, issued on Jul 22, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baltimore, MD. The record was last updated on Jul 22, 2014.