Individual
NAKISIA MONIQUE CHENEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
5505 MAIN ST STE 100, DEL CITY, OK 73115-5508
(405) 812-0642
Mailing address
5505 MAIN ST STE 100, DEL CITY, OK 73115-5508
(405) 812-0642
(405) 812-0642
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4742
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
4742
OK
Other
Enumeration date
10/02/2008
Last updated
08/15/2024
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