Individual
AUSTIN O EZUGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED. MHR
Contact information
Practice address
625 NW 13TH ST, OKLAHOMA CITY, OK 73103-2239
(405) 601-2307
(405) 601-3317
Mailing address
2009 RUSHING MDWS, EDMOND, OK 73013-2708
(405) 341-5738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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