Individual provider · Type 1 NPI

Detra Mobley

Mental Health Counselor · Oklahoma City, OK

NPI number 1225445471 Active

Practice location

13101 S Penn Ave, Suite 9
Oklahoma City, OK 73170-4900

Call (405) 809-3542 Map

Fax (405) 809-3552

Mailing address

3975 Oak Valley Dr
Guthrie, OK 73044-8213

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1225445471

Detra Mobley's National Provider Identifier is 1225445471, issued on Jul 21, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 21, 2014.