Individual
NOE DANIEL CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
605 W OXFORD AVE, ENID, OK 73701-1208
(559) 462-6062
Mailing address
605 W OXFORD AVE, ENID, OK 73701-1208
(559) 462-6062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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