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Individual

JEFFREY D LEFORCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LADC

Contact information

Practice address
605 SE WASHINGTON ST, IDABEL, OK 74745-3319
(580) 286-0888
Mailing address
605 SE WASHINGTON ST, IDABEL, OK 74745-3319
(580) 286-0888

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
361
OK
101YP2500X
Professional Counselor
Primary
2385
OK

Other

Enumeration date
06/04/2009
Last updated
12/08/2010
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