Individual
GARTH COULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
448 36TH AVE NW STE 101, NORMAN, OK 73072-4743
(888) 573-7792
Mailing address
1616 TURTLE LAKE RD, MOORE, OK 73160-6142
(405) 476-1623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
08/19/2010
Last updated
04/02/2024
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