Individual
KEVIN PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8536 N LINDSAY AVE, OKLAHOMA CITY, OK 73114-0801
(405) 588-2677
(405) 456-5125
Mailing address
8536 N LINDSAY AVE, OKLAHOMA CITY, OK 73114-0801
(405) 588-2677
(405) 456-5125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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