Individual
RYAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
4235 S ROCKFORD AVE, TULSA, OK 74105-4043
(918) 691-3365
Mailing address
4235 S ROCKFORD AVE, TULSA, OK 74105-4043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
792
OK
Other
Enumeration date
04/13/2007
Last updated
07/31/2012
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