person
Mr. Johnny Marvell Leake II
Addiction (Substance Use Disorder) Counselor in Oklahoma City, Oklahoma
NPI 1588255194

Johnny Marvell Leake II is an Addiction (Substance Use Disorder) Counselor based in Oklahoma City, OK and is specialized in Addiction (Substance Use Disorder). Johnny Marvell Leake II practices in Oklahoma City, OK. The NPI Number for Johnny Marvell Leake II is 1588255194 and holds a License No. (Oklahoma).

The current practice location address for Johnny Marvell Leake II is 3621 N Kelley Ave, Oklahoma City, OK and can be reached out via phone at 405-524-5525.

Location: 3621 N Kelley Ave, Oklahoma City, OK, 73111-4520
person
Provider Profile Details
NPI Number
1588255194
Provider Name
Johnny Marvell Leake II
Credential
Provider Entity Type
Individual
Gender
Male
Address
3621 N Kelley Ave, Oklahoma City, OK, 73111-4520
Phone Number
405-524-5525
Fax Number
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3621 N Kelley Ave
City
State
Zip
73111-4520
Phone Number
405-524-5525
Fax Number
person
Provider Business Mailing Address Details
Address
3621 N Kelley Ave
City
State
Zip
73111-4520
Phone Number
405-524-5525
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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