MR. DAVID RAY HARJO (NPI# 1801127477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801127477 |
| Entity Type | Individual |
| Full Name | MR. DAVID RAY HARJO |
| Credential | BS |
| Practice Address |
317 Sw C Ave Lawton OK 73501-4016 |
| Mailing Address |
317 Sw C Ave Po Box 408 Lawton OK 73501-4016 |
| Practice Telephone | 5802501123 |
| Practice Fax Number | 5802508495 |
| Mailing Telephone | 5802511123 |
| Mailing Fax Number | 5802508495 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100734740-F | 05 |
| Street Address |
317 SW C AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063743631 | James E Morris | Counselor | 317 Sw C Ave, Lawton, OK 73501-4016 | 2010-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600048 | Taylor Dawn Prosser | Counselor | 1904 Nw Cache Rd, Lawton, OK 73507-4539 | 2019-07-13 |
| 1871057893 | Roxanne Elizabeth Wiseman | Counselor | 1604 Nw Lake Ave, Lawton, OK 73507-6451 | 2019-01-23 |
| 1225506264 | Itai Chinhamo-wilson | Counselor | 1802 Nw Ferris Ave, Lawton, OK 73507-5625 | 2018-11-07 |
| 1275032807 | Michigan Therapy Center | Counselor | 60565 Springhaven Ct, Lawton, MI 49065-7687 | 2018-02-09 |
| 1720516313 | Cequinse Scruggs | Counselor | 2704 Nw 52nd St Apt S5, Lawton, OK 73505-1459 | 2017-05-26 |
| 1235679671 | Angela L. Stanley, Lpc | Counselor | 1529 W Gore Blvd, C2, Lawton, OK 73501-3646 | 2017-03-05 |
| 1518343201 | Lasonia Rogers | Counselor | 2513 Nw 38th Pl, Lawton, OK 73505 | 2015-08-04 |
| 1245635382 | Kelly Mills | Counselor | 215 Se Warwick Way, Lawton, OK 73501-6368 | 2014-10-31 |
| 1114333150 | Mark Slater | Counselor | 401 Ne Angus St, Lawton, OK 73507-1408 | 2014-07-10 |
| 1639580848 | Andrea Loftis | Counselor | 1311 Sw E Ave, Lawton, OK 73501-4716 | 2014-05-12 |
| Find all providers in LAWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.