Individual provider · Type 1 NPI

Miranda King

Mental Health Counselor · Tahlequah, OK

NPI number 1578076287 Active

Practice location

1606 E Downing St
Tahlequah, OK 74464-2513

Call (918) 453-1217 Map

Fax (918) 775-0328

Mailing address

210 N. Jt Stites Blvd.
Sallisaw, OK 74955-9301

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578076287

Miranda King's National Provider Identifier is 1578076287, issued on Nov 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tahlequah, OK. The record was last updated on Nov 16, 2017.