Individual
JOHN EDWARD OFFUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1019 N DENVER AVE # A, TULSA, OK 74106-5137
(918) 813-0721
Mailing address
628 N CHEYENNE AVE, TULSA, OK 74106-5122
(918) 813-0721
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1444
OK
Other
Enumeration date
12/23/2016
Last updated
09/10/2024
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