Individual provider · Type 1 NPI

Tara Matlock, LPC

Professional Counselor · Oklahoma City, OK

NPI number 1023769130 Active

Practice location

13929 Technology Dr
Oklahoma City, OK 73134-1053

Call (405) 496-1511 Map

Mailing address

13929 Technology Dr Ste A
Oklahoma City, OK 73134-1053

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X10454 (OK)

Professional Counselor: Definition to come...

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About NPI 1023769130

Tara Matlock, LPC's National Provider Identifier is 1023769130, issued on Jan 11, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 11, 2022.