Individual
MONICA CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 267-3246
Mailing address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(562) 313-5922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/14/2013
Last updated
01/13/2017
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