MEDICARE: DAVID HOWENSTINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	844	OK
2	101Y00000X	Counselor	1238	OK
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	681	OK
4	101YA0400X	Addiction (Substance Use Disorder) Counselor	002740	OK
5	101YA0400X	Addiction (Substance Use Disorder) Counselor	12700	OK
6	101YA0400X	Addiction (Substance Use Disorder) Counselor	2397	OK
7	101YM0800X	Mental Health Counselor	960033694	OK

General Provider Information

NPI Number	:	1639322449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID HOWENSTINE

Provider Business Mailing Address
First Line	:	1320 NW HOMESTEAD DR
Second Line	:	SUITE G
City	:	LAWTON
State	:	OK
Zip	:	73505-5243
Country	:	US
Telephone Number	:	580-355-8883
Fax Number	:	580-355-8885

Provider Business Practice Location Address
First Line	:	1320 NW HOMESTEAD DR
Second Line	:	SUITE G
City	:	LAWTON
State	:	OK
Zip	:	73505-5243
Country	:	US
Telephone Number	:	580-355-8883
Fax Number	:	580-355-8885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2008
Last Update Date	:	10/24/2008

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Directions to “ DAVID HOWENSTINE ” Practice Location

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