Individual
DAVIDSON C MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC CANDIDATE
Contact information
Practice address
425 S FRETZ AVE STE C, EDMOND, OK 73003-5568
(405) 726-9808
Mailing address
8200 JOAN, SPENCER, OK 73084-4653
(405) 471-3114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NA
OK
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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