Individual
RONALD WENDELL NICHOLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 N TELA DR, APT 21, OKLAHOMA CITY, OK 73127-4373
(405) 881-2127
(405) 949-0929
Mailing address
1120 N TELA DR, APT 21, OKLAHOMA CITY, OK 73127-4373
(405) 881-2127
(405) 949-0929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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