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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053762054 | NPPES |
| Maryland | Other | LC13330 | LCPC - MARYLAND COUNSELING LICENSE NUMBER |
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