Individual
LEE ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
533 N FONSHILL AVE, OKLAHOMA CITY, OK 73117-2417
(405) 650-6553
Mailing address
533 N FONSHILL AVE, OKLAHOMA CITY, OK 73117-2417
(405) 650-6553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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