Individual
BIRDIE LEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 N PENN AVE STE 101, OKLAHOMA CITY, OK 73112-7579
(405) 524-2424
(405) 525-3677
Mailing address
3915 N PENN AVE STE 101, OKLAHOMA CITY, OK 73112-7579
(405) 524-2424
(405) 525-3677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200079250A
—
OK
Enumeration date
06/18/2014
Last updated
06/18/2014
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