Individual provider · Type 1 NPI

Mary Blevins

Addiction (Substance Use Disorder) Counselor · Sallisaw, OK

NPI number 1437354859 Active

Practice location

101 N Wheeler Ave
Sallisaw, OK 74955-4617

Fax (918) 775-5526

Mailing address

PO Box 558
Tahlequah, OK 74465-0558

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 1437354859

Mary Blevins's National Provider Identifier is 1437354859, issued on Jun 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sallisaw, OK. The record was last updated on Jul 8, 2007.