Individual
MR. ALONZO TALTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC/MH
Contact information
Practice address
15 W 6TH ST, TULSA, OK 74119-5415
(918) 295-5055
Mailing address
2919 EMBASSY ROW, FLOSSMOOR, IL 60422-2209
(925) 303-5807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1481
OK
Other
Enumeration date
08/25/2018
Last updated
02/17/2025
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