Individual
BROOKE D HAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 425-0442
(405) 419-3042
Mailing address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 425-0442
(405) 419-3042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
261QM0801X
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QM0801X
CASE MANAGEMENT / CARE COORDINATOR
OK
Enumeration date
05/05/2017
Last updated
05/04/2022
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