Individual provider · Type 1 NPI

Derrel Levy

Mental Health Counselor · Idabel, OK

NPI number 1134324353 Active

Practice location

411 S Central Ave
Idabel, OK 74745-6059

Mailing address

PO Box 1030
Antlers, OK 74523-1030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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About NPI 1134324353

Derrel Levy's National Provider Identifier is 1134324353, issued on Jun 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idabel, OK. The record was last updated on Jun 5, 2012.