Provider Demographics
NPI:1225916059
Name:ADEBANJI, OLUWAFUNKE (LPC,CRC)
Entity type:Individual
Prefix:
First Name:OLUWAFUNKE
Middle Name:
Last Name:ADEBANJI
Suffix:
Gender:F
Credentials:LPC,CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 MACKINAW AVE
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-5710
Mailing Address - Country:US
Mailing Address - Phone:347-327-5819
Mailing Address - Fax:
Practice Address - Street 1:1246 MACKINAW AVE
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-5710
Practice Address - Country:US
Practice Address - Phone:347-327-5819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.021795101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health