Individual
ADRIAN TYLER KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 N HUDSON ST, ALTUS, OK 73521-3811
(405) 424-7711
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7040
OK
Other
Enumeration date
01/06/2014
Last updated
05/12/2021
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