Individual
BRIAN STALCUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M,.ED.
Contact information
Practice address
1140 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3918
(405) 858-2958
Mailing address
320 N COCKREL AVE, NORMAN, OK 73071-6014
(405) 921-7012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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