Individual provider · Type 1 NPI

Terrah Lynn Manes, LCSW

Mental Health Counselor · Tahlequah, OK

NPI number 1043415474 Active

Practice location

711 S Muskogee Ave
Tahlequah, OK 74464-4717

Fax (918) 207-0558

Mailing address

19393 W 846 Rd
Park Hill, OK 74451-2014

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043415474

Terrah Lynn Manes, LCSW's National Provider Identifier is 1043415474, issued on Jun 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tahlequah, OK. The record was last updated on Aug 12, 2013.