Individual
JOHN C. CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
5208 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
(405) 810-0331
Mailing address
PO BOX 6012, NORMAN, OK 73070-6012
(405) 810-1766
(405) 810-0331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
242
OK
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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