Individual
ALBUS DIMABO EVANS-WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
6701 BROADWAY EXT STE 210, OKLAHOMA CITY, OK 73116-8213
(405) 242-2242
(405) 286-1730
Mailing address
13009 PEREGRINE DR, OKLAHOMA CITY, OK 73170-5426
(405) 703-0622
(405) 703-0622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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