Individual
CHAD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16688 S 11TH WEST AVE, GLENPOOL, OK 74033-4204
(918) 408-0309
Mailing address
16688 S 11TH WEST AVE, GLENPOOL, OK 74033-4204
(918) 408-0309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2014
Last updated
06/15/2014
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