Individual
MR. JUSTIN ROBERT DOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
2665 FOUR LAKES DR, BLANCHARD, OK 73010-8922
(405) 323-0548
Mailing address
2665 FOUR LAKES DR, BLANCHARD, OK 73010-8922
(405) 323-0548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4321
OK
Other
Enumeration date
02/11/2010
Last updated
11/19/2023
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