Provider Demographics
NPI:1760162168
Name:OLATUNJI, JOLAADE (MSW)
Entity Type:Individual
Prefix:
First Name:JOLAADE
Middle Name:
Last Name:OLATUNJI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 CONOVER RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1003
Mailing Address - Country:US
Mailing Address - Phone:732-870-8500
Mailing Address - Fax:732-946-4891
Practice Address - Street 1:190 CHELSEA AVE
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6712
Practice Address - Country:US
Practice Address - Phone:732-870-8500
Practice Address - Fax:732-222-9315
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor