Provider Demographics
NPI:1417527425
Name:OJEKUNLE, OLUWAFEMI ABIOLA
Entity Type:Individual
Prefix:
First Name:OLUWAFEMI
Middle Name:ABIOLA
Last Name:OJEKUNLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 CIRCUIT LN UNIT F
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-2927
Mailing Address - Country:US
Mailing Address - Phone:443-985-5667
Mailing Address - Fax:
Practice Address - Street 1:380 CIRCUIT LN UNIT F
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-2927
Practice Address - Country:US
Practice Address - Phone:443-985-5667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health