Individual
DEREK NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
9700 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6917
(405) 735-9732
Mailing address
800 W SILVER MEADOW DR, MIDWEST CITY, OK 73110-1659
(405) 201-3598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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