Individual provider · Type 1 NPI

Ben Imagiedouglas

Counselor · Oklahoma City, OK

NPI number 1255729687 Active

Practice location

6803 S Western Ave, Suite 404
Oklahoma City, OK 73139-1808

Call (405) 420-4840 Map

Fax (405) 286-3060

Mailing address

PO Box 75194
Oklahoma City, OK 73147-0194

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Counselor Primary 101Y00000X101Y00000X (OK)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1255729687

Ben Imagiedouglas's National Provider Identifier is 1255729687, issued on Jan 8, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 8, 2015.