MEDICARE: ADENIYI OYEGUNLE

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1164371712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADENIYI OYEGUNLE

Provider Business Mailing Address
First Line	:	988 E 69TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1736
Country	:	US
Telephone Number	:	248-716-0354
Fax Number	:

Provider Business Practice Location Address
First Line	:	988 E 69TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-1736
Country	:	US
Telephone Number	:	248-716-0354
Fax Number	:

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

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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Directions to “ ADENIYI OYEGUNLE ” Practice Location

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