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Search › Minnesota › 1041C0700X

Fatai Popoola, LICSW,LADC

NPI 1174035331 · on the registry since 2017 · sole proprietor

Practice

Address
525 Portland Ave # Mc963
Minneapolis, MN 55415
Phone
(612) 396-2280
Organisation at this address
Hennepin County
Hennepin County
Hennepin County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
103TA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota