Individual
MR. TERRY RAY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3033 N WALNUT AVE, EAST BUILDING, OKLAHOMA CITY, OK 73105-2832
(918) 916-2309
Mailing address
PO BOX 21164, OKLAHOMA CITY, OK 73156-1164
(918) 916-2309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
623
OK
Other
Enumeration date
03/23/2007
Last updated
02/10/2016
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