Olushola Oyetokunboh Bakare
Olushola Oyetokunboh Bakare is a Marriage and Family Therapist in Bridgeport, Connecticut. Qualified in 2011, 15 years ago. Practices with Wagner Medical PC, a 13-clinician group and offers telehealth.
- Years since qualifying
- 15
- In the registry since
- 2012
Practice location Address checks out
170 Bennett StBridgeport, CT 06605-2901
Phone: (203) 330-6790
Fax: (203) 330-6756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1598031031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 29, 2012 |
| Last updated in NPPES | March 21, 2023 |
| Certification date | March 21, 2023 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Wagner Medical Pc — 13 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
| Practice locations | 6 on file with Medicare |
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