Individual
TINA M MADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N 102ND, OKLAHOMA CITY OKLAHOMA, OK 73114
(405) 675-1863
Mailing address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 635-3831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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