Individual provider · Type 1 NPI

Larry Boone Jr.

Mental Health Counselor · Tulsa, OK

NPI number 1255684478 Active

Practice location

551 N. 28th West Ave
Tulsa, OK 74127

Call (918) 794-0197 Map

Fax (918) 794-0196

Mailing address

551 N 28th West Ave
Tulsa, OK 74127-6139

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1255684478

Larry Boone Jr.'s National Provider Identifier is 1255684478, issued on Oct 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on May 6, 2013.