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Robert Smith

Counselor, Addiction (Substance Use Disorder) in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1073754644
StatusActive
Last updated in NPPESMar 11, 2009

Details

NPI
1073754644
Entity type
Individual (NPI-1)
Name
Robert Smith
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 11, 2009
Last updated
Mar 11, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

3621 N Kelley Ave Ste 100
Oklahoma City, OK 73111-4520

Phone 405-524-5525

Mailing address

3621 N Kelley Ave
Oklahoma City, OK 73111-4520

Phone 405-524-5525

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