Organization · Type 2 NPI
Gravel Road, LLC
Mental Health Counselor · Bartlesville, OK
NPI number
1154693349
Active
Practice location
3820 Silver Lake Vw
Bartlesville, OK 74006-7341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1154693349
Gravel Road, LLC's National Provider Identifier is 1154693349, issued on Feb 2, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bartlesville, OK. The record was last updated on Feb 2, 2012.