Provider Demographics
NPI:1578246427
Name:FOLARIN, OLAWALE AKINLEYE (PHD, MSC, QMHP)
Entity Type:Individual
Prefix:DR
First Name:OLAWALE
Middle Name:AKINLEYE
Last Name:FOLARIN
Suffix:
Gender:M
Credentials:PHD, MSC, QMHP
Other - Prefix:DR
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:531 1/2 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-2889
Mailing Address - Country:US
Mailing Address - Phone:667-434-8742
Mailing Address - Fax:
Practice Address - Street 1:714 MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-6010
Practice Address - Country:US
Practice Address - Phone:667-434-8742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling