Individual
DESTINY SLAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6440 S LEWIS AVE STE 2200, TULSA, OK 74136-1060
(918) 712-0859
Mailing address
18965 S 4210 RD, CLAREMORE, OK 74017-1715
(918) 770-5977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10590
OK
Other
Enumeration date
04/21/2021
Last updated
12/12/2023
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