Individual
LV CRUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 BROADWAY EXT STE 180, OKLAHOMA CITY, OK 73116-8246
(405) 607-4041
Mailing address
6501 BROADWAY EXT STE 180, OKLAHOMA CITY, OK 73116-8246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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