Individual
MR. DEVARON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
Mailing address
4200 N MERIDIAN AVE APT 444, OKLAHOMA CITY, OK 73112-2620
(495) 887-2694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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