Individual
BENJAMIN REX ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7804 NW 89TH ST STE 1, OKLAHOMA CITY, OK 73132-3213
(405) 820-4965
Mailing address
1206 HILLTOP DR, ENID, OK 73701-7762
(405) 820-4965
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5814
OK
101YM0800X
Mental Health Counselor
5814
OK
Other
Enumeration date
10/21/2009
Last updated
11/25/2020
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