Individual
ALEXIS AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 424-7711
Mailing address
12301 S MAY AVE, OKLAHOMA CITY, OK 73170-4502
(405) 927-3104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21101
OK
Other
Enumeration date
05/04/2022
Last updated
11/13/2024
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