Individual
MR. ALEXANDRE SOUZA GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
700 S PENN AVENUE, BARTLESVILLE, OK 74003-3847
(918) 200-7263
Mailing address
700 S PENN AVENUE, BARTLESVILLE, OK 74003-3847
(918) 906-2168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5086
OK
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
07/19/2021
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