Mr. Modebola Fadare
Mr. Modebola Fadare is a Rehabilitation Practitioner in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
9210 S Western Ave Ste A-21Oklahoma City, OK 73139-4982
Phone: (405) 246-9259
Fax: (405) 606-7893
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (OK) |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X |
| Professional Counselor | Taxonomy 101YP2500X · Licence 6107 (OK) |
Record details
| NPI number | 1063754182 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2013 |
| Last updated in NPPES | May 16, 2016 |
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