person
Mr. John Robert Leavell III, MALPC
Professional Counselor in Broken Arrow, Oklahoma
NPI 1275618357

John Robert Leavell III is a Professional Counselor based in Broken Arrow, OK and is specialized in Professional. John Robert Leavell III practices in Broken Arrow, OK and has the professional credentials of MALPC. The NPI Number for John Robert Leavell III is 1275618357 and holds a License No. 3648 (Oklahoma).

The current practice location address for John Robert Leavell III is 208 W Austin St, Broken Arrow, OK and can be reached out via phone at 918-451-0876.

Location: 208 W Austin St, Broken Arrow, OK, 74011-3605
person
Provider Profile Details
NPI Number
1275618357
Provider Name
John Robert Leavell III
Credential
MALPC
Provider Entity Type
Individual
Gender
Male
Address
208 W Austin St, Broken Arrow, OK, 74011-3605
Phone Number
918-451-0876
Fax Number
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
208 W Austin St
City
State
Zip
74011-3605
Phone Number
918-451-0876
Fax Number
person
Provider Business Mailing Address Details
Address
208 W Austin St
City
State
Zip
74011-3605
Phone Number
918-451-0876
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3648 (Oklahoma)
Definition
Definition to come...
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