Agbo-Ola, Adijat Jassmia

Agbo-Ola, Adijat Jassmia is an sole proprietor health care provider with primary practice located at 4204 Alton St , Capitol Heights MD 20743-5802. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Agbo-Ola, Adijat Jassmia can be contacted via phone (757) 753-7525.

Contact Information

Primary practice address
4204 Alton St Capitol Heights MD 20743-5802
Phone: (757) 753-7525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1053762054
LBN Legal business name Agbo-Ola, Adijat Jassmia
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2016
Last updated Dec 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053762054 NPPES
Maryland Other LC13330 LCPC - MARYLAND COUNSELING LICENSE NUMBER

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