Individual
MICHAEL CRAIG IVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 S WALKER AVE APT 6, OKLAHOMA CITY, OK 73139-7201
(405) 632-2292
Mailing address
7000 S WALKER AVE APT 6, OKLAHOMA CITY, OK 73139-7201
(405) 632-2292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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