Leavell, John Robert

Leavell, John Robert is an individual health care provider with primary practice located at 208 W Austin St , Broken Arrow OK 74011-3605. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Leavell, John Robert can be contacted via phone (918) 451-0876.

Contact Information

Primary practice address
208 W Austin St Broken Arrow OK 74011-3605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3648 Oklahoma

Profile Details

NPI number 1275618357
LBN Legal business name Leavell, John Robert
Credentials MA. LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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