Individual provider · Type 1 NPI
Irvin Dwayne Profit, LADC U/S
Addiction (Substance Use Disorder) Counselor · Tulsa, OK
NPI number
1699974584
Active
Practice location
5319 S. Lewis, Ste 219
Tulsa, OK 74105
Fax (918) 292-8250
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 1699974584
Irvin Dwayne Profit, LADC U/S's National Provider Identifier is 1699974584, issued on Jul 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tulsa, OK. The record was last updated on Sep 26, 2013.