Individual
DUSTIN GEORGE CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2617 GENERAL PERSHING BLVD., OKLAHOMA CITY, OK 73107
(405) 858-2700
(405) 858-2810
Mailing address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-2700
(405) 858-2810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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