Organization
MALCOLM COUNSELING AND DUI SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONT RUDOLPH MALCOLM LADC, CM-III (OWNER, COUNSELOR, DUI ASSESSOR)
(405) 637-5935
Entity
Organization
Contact information
Practice address
4500 N LINCOLN BLVD, SUITE 105, OKLAHOMA CITY, OK 73105-3406
(405) 601-5553
Mailing address
4500 N LINCOLN BLVD, SUITE 105, OKLAHOMA CITY, OK 73105-3406
(405) 601-5553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
698
OK
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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