Individual provider · Type 1 NPI
Micah Delene Foraker
Mental Health Counselor · Comanche, OK
NPI number
1043798721
Active
Practice location
278871 E 1840 Rd
Comanche, OK 73529-4042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1043798721
Micah Delene Foraker's National Provider Identifier is 1043798721, issued on Aug 3, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Comanche, OK. The record was last updated on Aug 3, 2018.