Individual
FAKHRY TALEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3005 NW 63RD ST, OKLAHOMA CITY, OK 73116-3603
(405) 609-9500
Mailing address
PO BOX 57562, OKLAHOMA CITY, OK 73157-7562
(405) 609-9500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/23/2011
Last updated
09/24/2011
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