Individual provider · Type 1 NPI
Mija Self
Professional Counselor · Lehigh, OK
NPI number
1063789709
Active
Practice location
813 N Willow
Lehigh, OK 74523
Mailing address
PO Box 253
Lehigh, OK 74556-0253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Professional Counselor Primary | 101YP2500X | 7171 (OK) |
| Behavior Analyst | 103K00000X | None listed |
Professional Counselor: Definition to come...
About NPI 1063789709
Mija Self's National Provider Identifier is 1063789709, issued on Nov 23, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lehigh, OK. The record was last updated on Aug 30, 2023.