DALTON BRADEN POWELL

OKLAHOMA CITY, OK
NPI1508560335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-03-27
Last Update Date2023-03-27
Business Address
DALTON BRADEN POWELL
3521 NW 20TH ST
OKLAHOMA CITY, OK 73107-2817
Phone number: 918-312-9269
Mailing Address
DALTON BRADEN POWELL
3521 NW 20TH ST
OKLAHOMA CITY, OK 73107-2817
Phone number: 918-312-9269