Individual
ERIC B CARPENTER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BHRS
Contact information
Practice address
807 SW F AVENUE, LAWTON, OK 73501
(580) 595-7000
Mailing address
807 SW F AVE, LAWTON, OK 73501
(580) 595-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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