Popoola, Fatai Adeshina

Popoola, Fatai Adeshina is an sole proprietor health care provider with primary practice located at 625 Snelling Ave N , Saint Paul MN 55104-2878. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Popoola, Fatai Adeshina can be contacted via phone (651) 214-0975.

Contact Information

Primary practice address
625 Snelling Ave N Saint Paul MN 55104-2878
Phone: (651) 214-0975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303521 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 24938 Minnesota

Profile Details

NPI number 1174035331
LBN Legal business name Popoola, Fatai Adeshina
Credentials LGSW,LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2017
Last updated Jan 26th, 2023 - about last year

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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