Individual
HAROLD RAY BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
317 N HUDSON ST, ALTUS, OK 73521-3709
(580) 482-2809
(580) 482-2820
Mailing address
802 N ROSE ST, GRANITE, OK 73547-9259
(580) 535-4566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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