Individual
MR. FRED NOLAN FACTORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
1416 NE 50TH ST, OKLAHOMA CITY, OK 73111-6604
(405) 427-8002
Mailing address
1416 NE 50TH ST, OKLAHOMA CITY, OK 73111-6604
(405) 427-8002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2010
Last updated
02/06/2010
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