Individual provider · Type 1 NPI

David Lante Botchway

Mental Health Counselor · Oklahoma City, OK

NPI number 1659639714 Active

Practice location

4814 Kristie Dr Apt 74
Oklahoma City, OK 73115-4810

Call (405) 409-0916 Map

Mailing address

PO Box 15793
Oklahoma City, OK 73155-5793

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659639714

David Lante Botchway's National Provider Identifier is 1659639714, issued on Apr 26, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 30, 2012.