Individual
MARK L CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3033 N WALNUT AVE, OKLAHOMA CITY, OK 73105-2832
(405) 235-9709
(405) 552-2611
Mailing address
1524 1/2 SW BINKLEY ST, OKLAHOMA CITY, OK 73119-2221
(405) 235-9709
(405) 552-2611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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