Provider Demographics
NPI:1518633262
Name:ADEKUNLE, ASIATA OYINLADE (ACSW)
Entity Type:Individual
Prefix:MRS
First Name:ASIATA
Middle Name:OYINLADE
Last Name:ADEKUNLE
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2241 W 190TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-6001
Mailing Address - Country:US
Mailing Address - Phone:424-271-4153
Mailing Address - Fax:
Practice Address - Street 1:2241 W 190TH ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-6001
Practice Address - Country:US
Practice Address - Phone:424-271-4153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health