MR. John Robert Leavell III, MA. LPC
NPI #1275618357 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1275618357
- Entity Type
- Individual
- Name
- MR. John Robert Leavell III, MA. LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA. LPC
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 208 W AUSTIN ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-3605
- Phone
- (918) 451-0876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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