Individual
DR. LARRY W. COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
1619 E 13TH ST, TULSA, OK 74120-5410
(918) 588-8826
Mailing address
1619 E 13TH ST, TULSA, OK 74120-5410
(918) 588-8826
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 1561
OK
106H00000X
Marriage & Family Therapist
LMFT 208
OK
Other
Enumeration date
03/29/2009
Last updated
03/29/2009
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