Individual
MR. DIVYESH P MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBHCM
Contact information
Practice address
1215 NW 25TH ST, OKLAHOMA CITY, OK 73106-5629
(405) 525-2525
(405) 524-3549
Mailing address
1215 NW 25TH ST, OKLAHOMA CITY, OK 73106-5629
(405) 525-2525
(405) 524-3549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2009
Last updated
02/14/2011
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