| Dr Joseph Olatunde Adedokun, LCAS | |
|
432 E Long Ave Ste 1, Gastonia, NC 28054-2540 | |
| (704) 854-9595 | |
| (704) 852-4488 |
| Full Name | Dr Joseph Olatunde Adedokun |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 432 E Long Ave Ste 1, Gastonia, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760542062 | NPI | - | NPPES |
| 6111767 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS (North Carolina) | Primary |
| Entity Name | Impact Carolina Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376789925 PECOS PAC ID: 7719019355 Enrollment ID: O20100719000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Olatunde Adedokun, LCAS 1003 E Main St, Dallas, NC 28034-9376 Ph: (704) 922-0012 | Dr Joseph Olatunde Adedokun, LCAS 432 E Long Ave Ste 1, Gastonia, NC 28054-2540 Ph: (704) 854-9595 |
Brittney Cornette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 S York St, Gastonia, NC 28052 Phone: 704-865-8722 | |
Carym Arbulu Casas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2925 Audrey Dr, Gastonia, NC 28054 Phone: 980-484-2111 | |
Mr. Robert Summey Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1552 Union Rd, Suite E, Gastonia, NC 28054 Phone: 704-833-0154 Fax: 704-833-7076 | |
Stephanie Jackson Grier, MA, LCAS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1566 Union Rd Ste B, Gastonia, NC 28054 Phone: 704-968-0935 | |
Jessica Gabrielle Montez, MA, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 S York St, Gastonia, NC 28052 Phone: 704-864-6573 Fax: 704-864-9791 | |
Carolyn Linder, Counselor Medicare: Medicare Enrolled Practice Location: 549 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1558 | |
Jessie Dawson, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 W 6th Ave, Gastonia, NC 28052 Phone: 757-339-1149 |