Individual
FRANK DEWAYNE COOLBROTH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBS, LADC, LPC
Contact information
Practice address
300 NORTH DALTON, VALLIANT, OK 74764
(580) 933-7031
(580) 286-5132
Mailing address
1504 CLEVELAND ST, IDABEL, OK 74745-8008
(580) 933-7031
(580) 286-5132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
754
OK
Other
Enumeration date
05/14/2007
Last updated
04/18/2024
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