Individual
TIMOTHY FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC/MH
Contact information
Practice address
1111 N LEE AVE STE 207, OKLAHOMA CITY, OK 73103-2620
(405) 516-0343
Mailing address
1111 N LEE AVE STE 207, OKLAHOMA CITY, OK 73103-2620
(405) 516-0343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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