Phillip M Lavender, BHRS

NPI #1083970289 in Enid, Oklahoma

Provider Information

NPI Number
1083970289
Entity Type
Individual
Name
Phillip M Lavender, BHRS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
BHRS
Enumeration Date
Apr 2, 2012
Last Updated
Apr 2, 2012

Practice Location

Address
1600 W WILLOW RD
City
Enid
ZIP Code
73703-2437
Phone
(580) 484-1018

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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