Individual
NATHAN CHASE WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 E BROADWAY ST, ANADARKO, OK 73005-2824
(405) 247-5437
(405) 247-9778
Mailing address
102 E BROADWAY ST, ANADARKO, OK 73005-2824
(405) 247-5437
(405) 247-9778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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