Individual
EVA MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
7905 E. HWY 66, EL RENO, OK 73036
(405) 264-5514
Mailing address
815 S MACOMB AVE, EL RENO, OK 73036-4717
(405) 262-5029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
299
OK
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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