Individual
MR. FRED LEE MCGINN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14836 GAMBELS TRAIL DR, OKLAHOMA CITY, OK 73134-5226
(405) 509-5056
Mailing address
14836 GAMBELS TRAIL DR, OKLAHOMA CITY, OK 73134-5226
(405) 509-5056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4800
OK
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
1003
OK
Other
Enumeration date
05/17/2010
Last updated
05/11/2026
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