Individual
MR. ERICK VAN WALDROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC/MH COUNSELOR
Contact information
Practice address
1613 SE 66TH ST, OKLAHOMA CITY, OK 73149-5203
(405) 616-3366
(405) 616-4925
Mailing address
1613 SE 66TH ST, OKLAHOMA CITY, OK 73149-5203
(405) 616-3366
(405) 616-4925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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