Individual
PHILIP NOEL SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 581-1818
(580) 581-1819
Mailing address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 581-1818
(580) 581-1819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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