Individual provider · Type 1 NPI
Mark Throckmorton
Counselor · Tahlequah, OK
NPI number
1417340647
Active
Practice location
701 S Muskogee Ave
Tahlequah, OK 74464-4717
Fax (918) 207-0558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1417340647
Mark Throckmorton's National Provider Identifier is 1417340647, issued on Mar 12, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tahlequah, OK. The record was last updated on Mar 12, 2015.