Individual
MR. MARTIN JOHN LOBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
16301 SONOMA PARK DR, EDMOND, OK 73013-5498
(405) 246-5433
(405) 562-1451
Mailing address
16301 SONOMA PARK DR, EDMOND, OK 73013-2091
(405) 246-5433
(405) 562-1451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4377
OK
101YP2500X
Professional Counselor
63169
TX
Other
Enumeration date
06/02/2010
Last updated
02/04/2015
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