Individual
MRS. PATIENCE NDEKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 W GORE BLVD, LAWTON, OK 73505-6334
(580) 215-8694
(580) 581-1285
Mailing address
16949 SW LEE BLVD, CACHE, OK 73527-3021
(580) 215-8694
(580) 581-1285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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