Individual
MARIA DE LOURDES AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
(405) 236-0701
Mailing address
6500 N GRAND BLVD APT 188, OKLAHOMA CITY, OK 73116-3435
(405) 505-0136
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12063
OK
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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