Derrel Levy

NPI #1134324353 in Idabel, Oklahoma

Provider Information

NPI Number
1134324353
Entity Type
Individual
Name
Derrel Levy
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jun 18, 2007
Last Updated
Jun 5, 2012

Practice Location

Address
411 S CENTRAL AVE
City
Idabel
ZIP Code
74745-6059
Phone
(580) 286-5721

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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