Provider Demographics
NPI:1730862806
Name:KAREEM, FOLAJAIYE MUKHTAR (QMHP)
Entity type:Individual
Prefix:
First Name:FOLAJAIYE
Middle Name:MUKHTAR
Last Name:KAREEM
Suffix:
Gender:M
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-6010
Mailing Address - Country:US
Mailing Address - Phone:541-880-4921
Mailing Address - Fax:541-288-9660
Practice Address - Street 1:714 MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-6010
Practice Address - Country:US
Practice Address - Phone:541-880-4921
Practice Address - Fax:541-288-9660
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling