Individual
PAUL CORDELL WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4912 S WESTERN AVE, STE A, OKLAHOMA CITY, OK 73109-3838
(405) 819-6788
Mailing address
12101 N MACARTHUR BLVD, #310, OKLAHOMA CITY, OK 73162-1800
(405) 819-6788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C001419787
OK
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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