Individual
SLY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
3621 N KELLEY AVE, SUITE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
(405) 524-5528
Mailing address
PO BOX 13586, OKLAHOMA CITY, OK 73113-1586
(405) 627-5959
(405) 524-5528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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