Individual
MR. DOUGLAS WAYNE HUCHTEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8007 NW 32ND ST, BETHANY, OK 73008-4349
(405) 789-3204
Mailing address
8007 NW 32ND ST, BETHANY, OK 73008-4349
(405) 789-3204
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
33793
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33793
EUDD#
OK
Enumeration date
10/29/2013
Last updated
10/29/2013
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