Individual
MS. MARTHA ESPAILLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3323 SW 25TH ST, OKLAHOMA CITY, OK 73108-5241
(405) 680-4909
Mailing address
3323 SW 25TH ST, OKLAHOMA CITY, OK 73108-5241
(405) 680-4909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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