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Yakno Idara Douglas, REHAB SPECIALIST

Counselor, Mental Health in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1497023980
StatusActive
Last updated in NPPESDec 12, 2011

Details

NPI
1497023980
Entity type
Individual (NPI-1)
Name
Yakno Idara Douglas
Credential
REHAB SPECIALIST
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 12, 2011
Last updated
Dec 12, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

5714 S Western Ave
Oklahoma City, OK 73109-4515

Phone 405-601-1154 · Fax 405-601-1183

Mailing address

5714 S Western Ave
Oklahoma City, OK 73109-4515

Phone 405-601-1154 · Fax 405-601-1183

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