MEDICARE: KEMI BAKARE

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	106H00000X	Marriage & Family Therapist	37FA00019200	NJ

General Provider Information

NPI Number	:	1942872338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEMI BAKARE

Provider Business Mailing Address
First Line	:	77 RIDGE RD APT 204
Second Line	:
City	:	NORTH ARLINGTON
State	:	NJ
Zip	:	07031-6475
Country	:	US
Telephone Number	:	201-220-4290
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 RIDGE RD APT 204
Second Line	:
City	:	NORTH ARLINGTON
State	:	NJ
Zip	:	07031-6475
Country	:	US
Telephone Number	:	201-220-4290
Fax Number	:

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

Provider Enumeration Date	:	07/14/2021
Last Update Date	:	08/13/2024

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Directions to “ KEMI BAKARE ” Practice Location

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