Individual
DAVID LEE VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7744 S VICTOR AVE # C, TULSA, OK 74136-7722
(580) 230-1543
Mailing address
7744 S VICTOR AVE # C, TULSA, OK 74136-7722
(580) 230-1543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
101YP2500X
Professional Counselor
—
OK
103K00000X
Behavior Analyst
—
OK
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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