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
ZIP Code
74011-3605
Phone
(918) 451-0876

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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