Joseph Addison
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sapulpa, OK
NPI 1508283243 · NPPES record last updated Mar 19, 2014
Key facts
- NPI
- 1508283243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2 N Water St
Sapulpa, OK 74066-2816 - Phone
- (918) 224-0225
- NPI assigned
- Mar 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2 N Water St
Sapulpa, OK 74066-2816
Mailing address
19675 S 49TH West Ave
Mounds, OK 74047-4697
Other providers in Sapulpa, OK
- About Your Smile, PC
- Angel Adams-Threadgill
- Amber Adams
- Advanced Therapeutic Solutions LLC
- Advanced Wellness Clinic, Inc
- Stephen Ray Aery
- Ashley Aich
- Goldameir Akingbola
All providers in Sapulpa, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.