Individual
LAUREN E MASSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5350 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4520
(405) 605-8488
Mailing address
PO BOX 890895, OKLAHOMA CITY, OK 73189-0895
(405) 859-6310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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