Individual provider · Type 1 NPI
John Robert Leavell Iii, MA. LPC
Professional Counselor · Broken Arrow, OK
NPI number
1275618357
Active
Practice location
208 W Austin St
Broken Arrow, OK 74011-3605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3648 (OK) |
Professional Counselor: Definition to come...
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About NPI 1275618357
John Robert Leavell Iii, MA. LPC's National Provider Identifier is 1275618357, issued on Oct 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 8, 2007.