| Greg Fent, | |
|
304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | |
| (918) 675-4100 | |
| Not Available |
| Full Name | Greg Fent |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 304 N Mickey Mantle Blvd, Commerce, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245696756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Fent, 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 Ph: (918) 675-4100 | Greg Fent, 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 Ph: (918) 675-4100 |
Lisha Lancaster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 N Mickey Mantle Blvd, Commerce, OK 74339 Phone: 918-253-6548 Fax: 918-253-6548 | |
Santiago Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 N Mickey Mantle Blvd, Commerce, OK 74339 Phone: 918-675-4100 |