Provider Demographics
NPI:1558500678
Name:ADELABI, RUTH (MSW,CAAC)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:ADELABI
Suffix:
Gender:F
Credentials:MSW,CAAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 EKOLOLU STREET
Mailing Address - Street 2:
Mailing Address - City:KADUNA
Mailing Address - State:LAGOS
Mailing Address - Zip Code:2155
Mailing Address - Country:NG
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11 KADUNA 11
Practice Address - Street 2:
Practice Address - City:KADUNA
Practice Address - State:LAGOS
Practice Address - Zip Code:1010
Practice Address - Country:NG
Practice Address - Phone:80026-821-2122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-01760101YA0400X
MI68010905621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical