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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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.