Individual provider · Type 1 NPI
T'lisa Eddy
Mental Health Counselor · Pryor, OK
NPI number
1407068208
Active
Practice location
231 East Graham
Pryor, OK 74361
Fax (918) 825-1406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
3 other providers at this address
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- Courtney Shiann Anderson, BHPMental Health Counselor Pryor, OK NPI 1114435955
- Janette Marie Nuspl, LPC, NCCMental Health Counselor Pryor, OK NPI 1164629093
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About NPI 1407068208
T'lisa Eddy's National Provider Identifier is 1407068208, issued on May 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pryor, OK. The record was last updated on Jul 8, 2007.