Individual
MR. DONALD W. BLY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 N POST OAK RD, OKLAHOMA CITY, OK 73105-6428
(405) 255-8932
Mailing address
6200 N POST OAK RD, OKLAHOMA CITY, OK 73105-6428
(405) 255-8932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200347170A
—
OK
Enumeration date
08/14/2012
Last updated
08/14/2012
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