Individual provider · Type 1 NPI

Mariah Prock, ME.D

Mental Health Counselor · Edmond, OK

NPI number 1437975877 Active

Practice location

2500 S Broadway Ste 106
Edmond, OK 73013-4039

Call (405) 293-3053 Map

Mailing address

1945 Novate Ln
Edmond, OK 73034-5994

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1437975877

Mariah Prock, ME.D's National Provider Identifier is 1437975877, issued on Dec 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on Dec 2, 2024.