| Malcolm Counseling And Dui Services, Llc. | |
|
4500 N Lincoln Blvd Suite 105 Oklahoma City OK 73105-3406 | |
| (405) 601-5553 | |
| Not Available |
| Full Name | Malcolm Counseling And Dui Services, Llc. |
|---|---|
| Speciality | Counselor |
| Location | 4500 N Lincoln Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Lamont Rudolph Malcolm (OWNER, COUNSELOR, DUI ASSESSOR) |
| Authorized Official Contact | 4056375935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malcolm Counseling And Dui Services, Llc. 4500 N Lincoln Blvd Suite 105 Oklahoma City OK 73105-3406 Ph: (405) 601-5553 | Malcolm Counseling And Dui Services, Llc. 4500 N Lincoln Blvd Suite 105 Oklahoma City OK 73105-3406 Ph: (405) 601-5553 |
| NPI Number | 1194157966 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194157966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 698 (Oklahoma) | Primary |
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