Michael Ray Lavine, BHRS Valid NPI
Individual provider · Mental Health Counselor · Okc, OK
- NPI
- 1285991752
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2012-04-20
- Last updated
- 2012-05-24
Practice location
2513 Nw 115th
Okc, OK 73120
(405) 206-0719