Individual
MR. ERIC L ROLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
711 S SHERIDAN RD, TULSA, OK 74112-3139
(918) 832-7764
Mailing address
15720 N 280 RD, OKMULGEE, OK 74447-8579
(918) 832-7764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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