Irving Baccus JR., BHRS
NPI #1336404292 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1336404292
- Entity Type
- Individual
- Name
- Irving Baccus JR., BHRS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- BHRS
- Enumeration Date
- Jul 6, 2012
- Last Updated
- Jul 6, 2012
Practice Location
- Address
- 6000 E RENO AVE APT 1106
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-2013
- Phone
- (405) 659-5137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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