Individual
NADIA GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
11613 E 84TH CT N, OWASSO, OK 74055-2147
(918) 376-9496
Mailing address
11613 E 84TH CT N, OWASSO, OK 74055-2147
(918) 376-9496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
577
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NAD1GUE2CR
1
OK
Enumeration date
06/13/2007
Last updated
07/08/2007
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