DAN LEWIS BENTON

MIDWEST CITY, OK
NPI1740519115
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  3468)
Enumeration Date2009-12-15
Last Update Date2009-12-15
Business Address
Mr. DAN LEWIS BENTON L.P.C
1212 S AIR DEPOT BLVD 43
MIDWEST CITY, OK 73110-4870
Phone number: 405-684-5884
Mailing Address
Mr. DAN LEWIS BENTON L.P.C
9117 INDIAN CREEK DR
MIDWEST CITY, OK 73130-4265
Phone number: 405-684-5884