Individual provider · Type 1 NPI

Alfred William Bevenue Jr., BSW

Addiction (Substance Use Disorder) Counselor · Mcalester, OK

NPI number 1063642080 Active

Practice location

628 E Creek Ave
Mcalester, OK 74501-6930

Fax (918) 421-3504

Mailing address

PO Box 1404
Mcalester, OK 74502-1404

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063642080

Alfred William Bevenue Jr., BSW's National Provider Identifier is 1063642080, issued on Jul 24, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mcalester, OK. The record was last updated on Jul 24, 2009.