Individual
MR. BOB J MAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
228 ROBERT S KERR AVE STE 715, OKLAHOMA CITY, OK 73102-5206
(405) 921-0560
(405) 228-2525
Mailing address
1908 OAK DR, MOORE, OK 73170-7904
(405) 921-0560
(405) 228-2525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1420
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
352
OK
101YM0800X
Mental Health Counselor
1420
OK
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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