Individual
PAUL NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 W WALNUT AVE, SEMINOLE, OK 74868-3860
(405) 220-5512
Mailing address
635 W WALNUT AVE, SEMINOLE, OK 74868-3860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L080558476
ADDICTIONS
OK
Enumeration date
05/06/2019
Last updated
05/06/2019
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