Healthcare Provider Details

I. General information

NPI: 1780548461
Provider Name (Legal Business Name): WARREN CAMERON FIELD III LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 NW 5TH ST STE D
MOORE OK
73160-3947
US

IV. Provider business mailing address

2429 NW 158TH ST
EDMOND OK
73013-9766
US

V. Phone/Fax

Practice location:
  • Phone: 405-568-1964
  • Fax:
Mailing address:
  • Phone: 405-568-1964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number13109
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: