Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1144664566 |
---|---|
Provider Name | David Morgan |
First Address | Amber, OK 73004-5245 |
Second Address | Amber, OK 73004-5245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2013 |
Last Update Date | 29/04/2013 |