Individual
ERIC GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 522-8145
Mailing address
4100 SE 43RD ST, DEL CITY, OK 73115-2847
(405) 633-3158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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