Individual
PROF. MICHAEL ANTHONY ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15700 BIG SPRING DR, EDMOND, OK 73013-9137
(346) 514-8821
Mailing address
15700 BIG SPRING DR, EDMOND, OK 73013-9137
(346) 514-8821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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