Individual provider · Type 1 NPI

Michael Dean Fleetwood, CADC

Addiction (Substance Use Disorder) Counselor · Enid, OK

NPI number 1780220475 Active

Practice location

1824 S Van Buren St
Enid, OK 73703-7903

Call (580) 540-8965 Map

Mailing address

2113 NE 15th St
Moore, OK 73160-8625

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X164 (OK)

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

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About NPI 1780220475

Michael Dean Fleetwood, CADC's National Provider Identifier is 1780220475, issued on Nov 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Enid, OK. The record was last updated on Nov 18, 2019.