Individual
MR. DEREK CHARLES BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3621 N KELLEY AVE, STE. 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
Mailing address
2825 PHEASANT RUN, EDMOND, OK 73012-6607
(405) 395-8610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1578690137
OK
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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