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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MODEBOLA FADARE

Active Sole Proprietor

MR. MODEBOLA FADARE is a Mental Health Counselor healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1063754182 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · OKLAHOMA CITY, OK

Registration Details

NPI Number
1063754182
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2013 (13.364266480457 yrs)
Last Updated
May 16, 2016
License
6107 (OK)
Sole Proprietor
Yes

Practice Information

Address
9210 S WESTERN AVE
STE A-21
OKLAHOMA CITY, OK, 731394982
Browse OK providers · Browse ZIP 73139
Phone
4052469259
Fax
4056067893
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor

Other Mental Health Counselor Providers in OKLAHOMA CITY, OK

Name Credential NPI
MRS. HSIAO-WEN EUNICE MOON LPC 1497756480
MARY L BOBO LCSW 1043204399
JODELL LYNN MOON M.ED., LPC, LMHC 1477520716
MRS. SHARON B. VARNUM LCSW 1609833300
MR. DAVID KECK WILLIAMS MA,LPC 1629010897
MICHAEL CHAPMAN LPC 1205879848
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.