Individual
KENNETH R NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
4209 NW 23RD STREET, 100, OKLAHOMA, OK 73107
(405) 917-1709
(405) 917-1713
Mailing address
4209 NW 23RD STREET, 100, OKLAHOMA, OK 73107
(405) 917-1709
(405) 917-1713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
05/07/2012
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