Individual provider · Type 1 NPI
Stac Embry
Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK
NPI number
1699181925
Active
Practice location
3321 N. Mckinley Ave
Oklahoma City, OK 73118
Mailing address
3321 N Mckinley Ave
Oklahoma City, OK 73118-3439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1699181925
Stac Embry's National Provider Identifier is 1699181925, issued on Jul 8, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 8, 2014.