Individual
MIKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 233-7220
(580) 237-7550
Mailing address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 233-7220
(580) 237-7550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
149
OK
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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