Individual provider · NPI-1
Ayomikun Ajani
Counselor, Mental Health · Fort Wayne, IN
NPI number1356954887
StatusActive
Last updated in NPPESSep 10, 2020
Details
- NPI
- 1356954887
- Entity type
- Individual (NPI-1)
- Name
- Ayomikun Ajani
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2020
- Certification date
- Sep 10, 2020
- Last updated
- Sep 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2100 Goshen RdFort Wayne, IN 46808-1493
Phone 260-471-3500
Mailing address
2621 E Jefferson StWarsaw, IN 46580-3880
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