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Austin M Cullum

Peer Specialist in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1649006271
StatusActive
Last updated in NPPESSep 10, 2024

Details

NPI
1649006271
Entity type
Individual (NPI-1)
Name
Austin M Cullum
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 10, 2024
Certification date
Sep 10, 2024
Last updated
Sep 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

8508 Nw 74th St
Oklahoma City, OK 73132-3750

Phone 405-923-4727

Mailing address

8508 Nw 74th St
Oklahoma City, OK 73132-3750

Phone 405-923-4727

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