Individual provider · Type 1 NPI
Benard Mairura Manyibe, LADC COUNSELOR
Addiction (Substance Use Disorder) Counselor · Edmond, OK
NPI number
1376829002
Active
Practice location
930 S Boulevard Apt 208
Edmond, OK 73034-4714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1376829002
Benard Mairura Manyibe, LADC COUNSELOR's National Provider Identifier is 1376829002, issued on Oct 26, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edmond, OK. The record was last updated on Oct 26, 2011.