Individual
ADAM SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 W INDEPENDENCE ST, STE. 900, SHAWNEE, OK 74804-4320
(405) 275-1844
(405) 275-1124
Mailing address
4636 S HARVARD AVE, TULSA, OK 74135-2908
(918) 382-7300
(918) 392-3471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OK
1041C0700X
Clinical Social Worker
Primary
—
OK
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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