Individual
MR. DEREK M TALKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5208 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
Mailing address
101 NE 53RD ST APT 3106, OKLAHOMA CITY, OK 73105-1886
(405) 535-7795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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