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Tanya Revels
Addiction (Substance Use Disorder) Counselor in Ardmore, Oklahoma
NPI 1801023023

Tanya Revels is an Addiction (Substance Use Disorder) Counselor based in Ardmore, OK and is specialized in Addiction (Substance Use Disorder). Tanya Revels practices in Ardmore, OK. The NPI Number for Tanya Revels is 1801023023 and holds a License No. (Oklahoma).

The current practice location address for Tanya Revels is 312 Barbara St, Ardmore, OK and can be reached out via phone at 580-222-1528. You can also correspond with Tanya Revels through the mailing address at 312 BARBARA ST, ARDMORE, OK - 73401-9716 (mailing address contact number: 580-222-1528).

Location: 312 Barbara St, Ardmore, OK, 73401-9716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801023023
Provider Name
Tanya Revels
Credential
Provider Entity Type
Individual
Gender
Female
Address
312 Barbara St, Ardmore, OK, 73401-9716
Phone Number
580-222-1528
Fax Number
Provider Enumeration Date
06/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
312 Barbara St
City
Ardmore
State
Oklahoma
Zip
73401-9716
Phone Number
580-222-1528
Fax Number
person
Provider Business Mailing Address Details
Address
312 Barbara St
City
Ardmore
State
Oklahoma
Zip
73401-9716
Phone Number
580-222-1528
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...
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