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Individual

STEVE NASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
821 LAKEVIEW DR, CUSHING, OK 74023-4738
(918) 223-6896
Mailing address
821 LAKEVIEW DR, CUSHING, OK 74023-4738
(918) 223-6896

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
110
OK

Other

Enumeration date
03/26/2018
Last updated
03/26/2018
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