Provider Demographics
NPI:1366678054
Name:THE O COUNSELOR
Entity Type:Organization
Organization Name:THE O COUNSELOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:THEODORA
Authorized Official - Middle Name:U
Authorized Official - Last Name:ADEDEJI
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LPC, LCPC
Authorized Official - Phone:301-649-3911
Mailing Address - Street 1:1704 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3567
Mailing Address - Country:US
Mailing Address - Phone:301-649-3911
Mailing Address - Fax:301-649-2243
Practice Address - Street 1:1704 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3567
Practice Address - Country:US
Practice Address - Phone:301-649-3911
Practice Address - Fax:301-649-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health