Individual
LARRY QUINZALE HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
2601 NW EXPRESSWAY, 102 E, OKLAHOMA CITY, OK 73112-7272
(405) 858-8656
Mailing address
8605 NE 20TH ST, OKLAHOMA CITY, OK 73141-2244
(405) 769-8776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049041
—
OK
Enumeration date
09/12/2011
Last updated
09/12/2011
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