SAM OGUNTADE

FORT WORTH, TX
NPI1538442744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  12595)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: TX  31014)
Enumeration Date2011-09-23
Last Update Date2015-07-31
Business Address
-- SAM OGUNTADE LCDC
3840 HULEN ST HTN, CLIENT ACCOUNTING
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
Mailing Address
-- SAM OGUNTADE LCDC
PO BOX 2603 HTN, CLIENT ACCOUNTING
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300