Organization
NOVUS PLLC
Active
Organization
NOVUS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FULTZ LPC (COUNSELOR)
(405) 830-8466
Entity
Organization
Contact information
Practice address
5700 N PORTLAND AVE, SUITE 310, OKLAHOMA CITY, OK 73112-1668
(405) 830-8466
Mailing address
7620 NW 14TH TER, OKLAHOMA CITY, OK 73127-3115
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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