Individual provider · Type 1 NPI

Trenton D. Fedrick

Addiction (Substance Use Disorder) Counselor · Tulsa, OK

NPI number 1497312516 Active

Practice location

550 S Peoria Ave
Tulsa, OK 74120-3820

Call (918) 588-1900 Map

Mailing address

6500 N Glenwood Ave Apt 103
Chicago, IL 60626-5154

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14583 (IL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497312516

Trenton D. Fedrick's National Provider Identifier is 1497312516, issued on May 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tulsa, OK. The record was last updated on May 23, 2019.