Individual
MR. EDDIE DANNY FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1116 KRISTEN LN, BLANCHARD, OK 73010-7001
(405) 392-5693
Mailing address
1116 KRISTEN LN, BLANCHARD, OK 73010-7001
(405) 392-5693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200333120A
—
OK
Enumeration date
07/22/2011
Last updated
07/18/2013
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