Individual provider · Type 1 NPI
Tommy Pack
Mental Health Counselor · Tahlequah, OK
NPI number
1124399282
Active
Practice location
15526 N Bryant Rd
Tahlequah, OK 74464-0201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124399282
Tommy Pack's National Provider Identifier is 1124399282, issued on Jan 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tahlequah, OK. The record was last updated on Jan 21, 2012.