Individual
MR. GREG D OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2225 N UNION ST, PONCA CITY, OK 74601-1555
(918) 308-5515
Mailing address
2225 N UNION ST, PONCA CITY, OK 74601-1555
(918) 308-5515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
297
KS
106H00000X
Marriage & Family Therapist
Primary
0357
KS
106H00000X
Marriage & Family Therapist
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229210A
—
KS
Enumeration date
06/14/2007
Last updated
10/13/2020
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