Individual
MR. DAVID RAY CORDLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
473 ELKS LODGE RD, PAWHUSKA, OK 74056-6542
(539) 212-2499
Mailing address
604 HICKORY DR, CLEVELAND, OK 74020-1002
(918) 287-5420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5951
OK
101YP2500X
Professional Counselor
5951
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200498140B
—
OK
Enumeration date
07/21/2012
Last updated
08/05/2025
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