Provider Demographics
NPI:1063743375
Name:WINFUNLE, OYINLOLA AJOKE (MFT)
Entity type:Individual
Prefix:MS
First Name:OYINLOLA
Middle Name:AJOKE
Last Name:WINFUNLE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:OYINLOLA
Other - Middle Name:AJOKE
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:145 LAUGHLIN DR
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-6012
Mailing Address - Country:US
Mailing Address - Phone:770-320-7501
Mailing Address - Fax:770-320-7501
Practice Address - Street 1:145 LAUGHLIN DR
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-6012
Practice Address - Country:US
Practice Address - Phone:770-320-7501
Practice Address - Fax:770-320-7501
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor