person
Mr. Ettiene Edemidiong
Mental Health Counselor in Oklahoma City, Oklahoma
NPI 1285014027

Ettiene Edemidiong is a Mental Health Counselor based in Oklahoma City, OK and is specialized in Mental Health. Ettiene Edemidiong practices in Oklahoma City, OK. The NPI Number for Ettiene Edemidiong is 1285014027 and holds a License No. (Oklahoma).

The current practice location address for Ettiene Edemidiong is 4200 N Meridian Ave, Oklahoma City, OK and can be reached out via phone at 281-740-5572.

Location: 4200 N Meridian Ave, Oklahoma City, OK, 73112-2628
person
Provider Profile Details
NPI Number
1285014027
Provider Name
Ettiene Edemidiong
Credential
Provider Entity Type
Individual
Gender
Male
Address
4200 N Meridian Ave, Oklahoma City, OK, 73112-2628
Phone Number
281-740-5572
Fax Number
Provider Enumeration Date
06/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4200 N Meridian Ave
City
State
Zip
73112-2628
Phone Number
281-740-5572
Fax Number
person
Provider Business Mailing Address Details
Address
4200 N Meridian Ave
City
State
Zip
73112-2628
Phone Number
281-740-5572
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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