Individual
MR. ALFONSO ALCANCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW CANDIDATE
Contact information
Practice address
7301 BROADWAY EXT, STE 101, OKLAHOMA CITY, OK 73116-9045
(405) 767-1126
(405) 767-6285
Mailing address
9502 S I-35 SERVICE RD, MOORE, OK 73160
(405) 334-9430
(405) 767-6285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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