Individual
DAVID MUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 NORTH WEST EXPRESSWAY, SUITE 101E, OKLAHOMA CITY, OK 73112-7272
(405) 858-8656
(405) 879-2171
Mailing address
PO BOX 48, MEAD, OK 73449-0048
(580) 745-9610
(580) 745-9891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708380
—
OK
05
—
200049040
—
OK
Enumeration date
07/05/2013
Last updated
07/05/2013
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