Individual provider · Type 1 NPI

Portia Kay Wickliffe-Herron, NCC, LPC, LBP

Mental Health Counselor · Claremore, OK

NPI number 1285805614 Active

Practice location

101 S Moore Ave
Claremore, OK 74017-5047

Call (918) 342-6460 Map

Fax (918) 342-6665

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1233 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1285805614

Portia Kay Wickliffe-Herron, NCC, LPC, LBP's National Provider Identifier is 1285805614, issued on Mar 13, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Claremore, OK. The record was last updated on Jul 6, 2023.