Individual
STEPHEN D BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 W IOWA AVE, CHICKASHA, OK 73018-3443
(405) 222-3018
(405) 222-0540
Mailing address
PO BOX 1437, CHICKASHA, OK 73023-1437
(405) 222-3018
(405) 222-0540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87
OBLADC
—
Enumeration date
07/03/2019
Last updated
07/03/2019
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