Provider Demographics
NPI:1790372738
Name:ADEDEJI, OLADIPO SOFOLU (MS, LCPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:OLADIPO
Middle Name:SOFOLU
Last Name:ADEDEJI
Suffix:
Gender:M
Credentials:MS, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 KINGSBURY DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2023
Mailing Address - Country:US
Mailing Address - Phone:202-930-0918
Mailing Address - Fax:
Practice Address - Street 1:8843 GREENBELT RD STE 293
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2451
Practice Address - Country:US
Practice Address - Phone:240-297-9857
Practice Address - Fax:240-542-4356
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP9176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health