Individual
MR. MUSIBAU SHOLA SHOPEYIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
832 NW 113TH ST, OKLAHOMA CITY, OK 73114-6905
(405) 607-6670
Mailing address
832 NW 113TH ST, OKLAHOMA CITY, OK 73114-6905
(405) 607-6670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4833
OK
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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