Individual
MR. EARL LEE COWDREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
8516 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-5226
(405) 306-0646
Mailing address
12412 PARK AVE, YUKON, OK 73099-6460
(405) 306-0646
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
6048
OK
Other
Enumeration date
08/09/2011
Last updated
05/10/2019
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