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Organization
SPECTRA MENTAL HEALTH
Active
Organization
SPECTRA MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVONDRA LOVE OWENS (CFO)
(405) 733-0120
Entity
Organization
Contact information
Practice address
6520 E RENO AVE, SUITE D, MIDWEST CITY, OK 73110-2109
(405) 733-0120
(405) 733-7877
Mailing address
PO BOX 223, SPENCER, OK 73084-0223
(405) 733-0120
(405) 733-7877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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