Individual provider · Type 1 NPI

Monica A. Provenzano

Addiction (Substance Use Disorder) Counselor · Tulsa, OK

NPI number 1194989210 Active

Practice location

6333 E Skelly Dr
Tulsa, OK 74135-6106

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 1194989210

Monica A. Provenzano's National Provider Identifier is 1194989210, issued on Jul 17, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tulsa, OK. The record was last updated on Jul 17, 2008.