Michael Ray Lavine JR., BHRS

NPI #1285991752 in Okc, Oklahoma

Provider Information

NPI Number
1285991752
Entity Type
Individual
Name
Michael Ray Lavine JR., BHRS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
BHRS
Enumeration Date
Apr 20, 2012
Last Updated
May 24, 2012

Practice Location

Address
2513 NW 115TH
City
Okc
ZIP Code
73120
Phone
(405) 206-0719

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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