Individual
MR. LABEEB A. MUWWAKKIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2504 N.E. 12TH STREET, OKLAHOMA, OK 73117-5219
(405) 424-6650
Mailing address
2504 N.E. 12TH STREET, OKLAHOMA, OKLAHOMA 73117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111
ODMHSAS CASE MANAGEWMENT, RSS AND C-RSS
OK
Enumeration date
03/02/2010
Last updated
03/02/2010
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