Individual provider · Type 1 NPI

Madison Rasberry

Mental Health Counselor · Tulsa, OK

NPI number 1518502012 Active

Practice location

5569 S Lewis Ave
Tulsa, OK 74105-7132

Mailing address

2908 E Memphis St
Broken Arrow, OK 74014-5003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1518502012

Madison Rasberry's National Provider Identifier is 1518502012, issued on Nov 8, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Sep 1, 2022.