Individual
LEXIE DARLENE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
13564 KANEY CIR, KINGSTON, OK 73439-4491
(580) 235-5528
(580) 889-1925
Mailing address
13564 KANEY CIR, KINGSTON, OK 73439-4491
(580) 235-5528
(580) 889-1925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
2024044443
MO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/29/2009
Last updated
08/11/2025
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