Individual
MR. DE'SHAUN THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6304 N WILDEWOOD DR, OKLAHOMA CITY, OK 73105-6436
(405) 802-0702
Mailing address
6304 N WILDEWOOD DR, OKLAHOMA CITY, OK 73105-6436
(405) 802-0702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5489
OK
Other
Enumeration date
05/21/2010
Last updated
02/21/2023
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