MEDICARE: DARE OWOLOJA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC009592	PA

General Provider Information

NPI Number	:	1114348851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARE OWOLOJA

Provider Business Mailing Address
First Line	:	4239 PENN AVE STE 11
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-1373
Country	:	US
Telephone Number	:	610-670-8800
Fax Number	:	610-670-9800

Provider Business Practice Location Address
First Line	:	4239 PENN AVE
Second Line	:	SUITE 11
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-1373
Country	:	US
Telephone Number	:	610-670-8800
Fax Number	:	610-670-9800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2013
Last Update Date	:	01/17/2026

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Directions to “ DARE OWOLOJA ” Practice Location

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