Individual
ERIC KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 425-0445
Mailing address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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