Individual
ELENOR MARIE LENNON KOVASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6324 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73132-5401
(405) 863-0201
Mailing address
6324 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73132-5401
(405) 863-0201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/09/2017
Last updated
12/01/2020
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