Individual
RANDY STEVEN HONEYCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 SW A AVE, LAWTON, OK 73501-3930
(580) 355-0072
Mailing address
602 SW A AVE, LAWTON, OK 73501-3930
(580) 355-0072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8
OK
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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