Individual provider · Type 1 NPI

Ettiene Edemidiong

Mental Health Counselor · Oklahoma City, OK

NPI number 1285014027 Active

Practice location

4200 N Meridian Ave, Apt 433
Oklahoma City, OK 73112-2628

Call (281) 740-5572 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285014027

Ettiene Edemidiong's National Provider Identifier is 1285014027, issued on Jun 7, 2015. 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 7, 2015.