person
Mr. Demetrick Lewayne Davis SR.
Counselor in Oklahoma City, Oklahoma
NPI 1659632503

Demetrick Lewayne Davis SR. is a Counselor based in Oklahoma City, OK. Demetrick Lewayne Davis SR. practices in Oklahoma City, OK. The NPI Number for Demetrick Lewayne Davis SR. is 1659632503 and holds a License No. (Oklahoma).

The current practice location address for Demetrick Lewayne Davis SR. is 3208 Ne Overbrook Dr, Oklahoma City, OK and can be reached out via phone at 405-885-3651.

Location: 3208 Ne Overbrook Dr, Oklahoma City, OK, 73121
person
Provider Profile Details
NPI Number
1659632503
Provider Name
Demetrick Lewayne Davis SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3208 Ne Overbrook Dr, Oklahoma City, OK, 73121
Phone Number
405-885-3651
Fax Number
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12345678 01 OK OKLAHOMA DEPT. OF MENTAL HEALTH
institution
Provider Business Practice Location Address Details
Address
3208 Ne Overbrook Dr
City
State
Zip
73121-2853
Phone Number
405-885-3651
Fax Number
person
Provider Business Mailing Address Details
Address
3208 Ne Overbrook Dr
City
State
Zip
73121-2853
Phone Number
405-885-3651
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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