Individual
JOHN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2012 NORTH VILLA AVENUE, OKLAHOMA CITY, OK 73107
(405) 885-9738
Mailing address
2012 NORTH VILLA AVENUE, OKLAHOMA CITY, OK 73107
(405) 885-9738
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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