Individual
LAWRENCE LORAN GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC LADC
Contact information
Practice address
102 N ELM PL, SUITE C, BROKEN ARROW, OK 74012-3883
(918) 258-4487
(918) 259-0221
Mailing address
1800 N 28TH ST, BROKEN ARROW, OK 74014-4900
(918) 355-3729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1436
OK
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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