Provider Demographics
NPI:1740597483
Name:OTUNO, JUMOKE RUTH (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:JUMOKE
Middle Name:RUTH
Last Name:OTUNO
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MAYFIELD DR STE 201
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3026
Mailing Address - Country:US
Mailing Address - Phone:615-496-0821
Mailing Address - Fax:615-676-1497
Practice Address - Street 1:240 MAYFIELD DR STE 201
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3026
Practice Address - Country:US
Practice Address - Phone:615-496-0821
Practice Address - Fax:615-676-1497
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLMT702106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist