Individual
MR. CHRIS LAMONT DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTER SOCIAL WORK
Contact information
Practice address
14625 NE 23RD STREET, CHOCTAW, OK 73020
(405) 390-8131
(405) 390-8134
Mailing address
PO BOX 695, CHOCTAW, OK 73020-0695
(405) 390-8131
(405) 390-8134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2006
Last updated
07/08/2007
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