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Derrel Levy
Addiction (Substance Use Disorder) Counselor in Idabel, Oklahoma
NPI 1134324353

Derrel Levy is an Addiction (Substance Use Disorder) Counselor based in Antlers, OK and is specialized in Addiction (Substance Use Disorder). Derrel Levy practices in Idabel, OK. The NPI Number for Derrel Levy is 1134324353 and holds a License No. (Oklahoma).

The current practice location address for Derrel Levy is 411 S Central Ave, Idabel, OK and can be reached out via phone at 580-286-5721.

Location: 411 S Central Ave, Idabel, OK, 74523-1030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134324353
Provider Name
Derrel Levy
Credential
Provider Entity Type
Individual
Gender
Male
Address
411 S Central Ave, Idabel, OK, 74523-1030
Phone Number
580-286-5721
Fax Number
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 S Central Ave
City
Idabel
State
Oklahoma
Zip
74745-6059
Phone Number
580-286-5721
Fax Number
person
Provider Business Mailing Address Details
Address
411 S Central Ave
City
Idabel
State
Oklahoma
Zip
74745-6059
Phone Number
580-286-5721
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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