Provider Demographics
NPI:1316545874
Name:ADEKUNJO, TOLULOPE A
Entity Type:Individual
Prefix:
First Name:TOLULOPE
Middle Name:A
Last Name:ADEKUNJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4942 E YALE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-1572
Mailing Address - Country:US
Mailing Address - Phone:559-721-2106
Mailing Address - Fax:
Practice Address - Street 1:4942 E YALE AVE STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-1572
Practice Address - Country:US
Practice Address - Phone:559-721-2106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor