Individual
MR. TIMOTHY LANCE MARTIN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
712 WALL ST, NORMAN, OK 73069-6360
(405) 579-7560
Mailing address
712 WALL ST, NORMAN, OK 73069-6360
(405) 579-7560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10289
OK
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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