Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ettiene Edemidiong

Individual provider Mental Health Counselor · NPI 1285014027

Mr. Ettiene Edemidiong is a Mental Health Counselor in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

4200 N Meridian Ave Apt 433
Oklahoma City, OK 73112-2628
Phone: (281) 740-5572
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1285014027
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 7, 2015
Last updated in NPPESJune 7, 2015

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