Individual provider · Type 1 NPI

Maxine Diana McKoy, THERAPIST/COUNSELOR

Mental Health Counselor · Tulsa, OK

NPI number 1134440662 Active

Practice location

1843 E 15th St
Tulsa, OK 74104-4610

Call (918) 951-5727 Map

Mailing address

PO Box 2231
Sapulpa, OK 74067-2231

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134440662

Maxine Diana McKoy, THERAPIST/COUNSELOR's National Provider Identifier is 1134440662, issued on Jun 18, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Jun 18, 2010.