Individual
ADAM M WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
948 W HEFNER RD, OKLAHOMA CITY, OK 73114-6927
(405) 286-9533
(405) 607-0927
Mailing address
948 W HEFNER RD, OKLAHOMA CITY, OK 73114-6927
(405) 286-9533
(405) 607-0927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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