Individual provider · Type 1 NPI

Fred Allen Edson Jr.

Mental Health Counselor · Oklahoma City, OK

NPI number 1174370159 Active

Practice location

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

Call (405) 424-7711 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174370159

Fred Allen Edson Jr.'s National Provider Identifier is 1174370159, issued on May 6, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 16, 2025.