Individual
RYAN DAVID WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
4912 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3838
(405) 604-3784
(405) 605-7820
Mailing address
4912 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3838
(405) 604-3784
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1130
OK
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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