Provider Demographics
NPI:1154852416
Name:OGUNYOKU, TOLANI ADEYINKA (MAED, LMHCA, NCC)
Entity Type:Individual
Prefix:MR
First Name:TOLANI
Middle Name:ADEYINKA
Last Name:OGUNYOKU
Suffix:
Gender:M
Credentials:MAED, LMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 114TH AVE SE # 101
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6942
Mailing Address - Country:US
Mailing Address - Phone:435-467-7033
Mailing Address - Fax:
Practice Address - Street 1:1300 114TH AVE SE # 101
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6942
Practice Address - Country:US
Practice Address - Phone:435-467-7033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health