Individual provider · Type 1 NPI
Leah Diane Qualls
Mental Health Clinic/Center (Including Community Mental Health Center) · Okmulgee, OK
NPI number
1164940912
Active
Practice location
1803 S Wood Dr
Okmulgee, OK 74447-6825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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Other mental health clinic/center (including community mental health center) providers in Okmulgee
About NPI 1164940912
Leah Diane Qualls's National Provider Identifier is 1164940912, issued on Aug 31, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Okmulgee, OK. The record was last updated on Jul 21, 2022.