Individual
JOHN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1228 NE 18TH ST, OKLAHOMA CITY, OK 73111-1012
(405) 798-4577
Mailing address
1228 NE 18TH ST, OKLAHOMA CITY, OK 73111-1012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
DEPARTMENT OF MENTAL HEALTH
—
Enumeration date
08/31/2011
Last updated
08/31/2011
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