Individual provider · Type 1 NPI

Fleming Jacoby Rodwell

Mental Health Clinic/Center (Including Community Mental Health Center) · Tahlequah, OK

NPI number 1205600681 Active

Practice location

711 S Muskogee Ave
Tahlequah, OK 74464-4717

Call (918) 207-0078 Map

Fax (918) 207-0558

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1205600681

Fleming Jacoby Rodwell's National Provider Identifier is 1205600681, issued on Nov 7, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tahlequah, OK. The record was last updated on Nov 7, 2023.