Individual
ALICIA VICTORIA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12301 S MAY AVE, OKLAHOMA CITY, OK 73170-4502
(405) 388-0006
Mailing address
12301 S MAY AVE, OKLAHOMA CITY, OK 73170-4502
(405) 388-0006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8906
OK
390200000X
Student in an Organized Health Care Education/Training Program
7385-P
OK
Other
Enumeration date
08/04/2020
Last updated
12/18/2024
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