Individual provider · Type 1 NPI
Manote Prommart
Mental Health Counselor · Broken Arrow, OK
NPI number
1619208063
Active
Practice location
1101 S 33rd St
Broken Arrow, OK 74014-2929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1619208063
Manote Prommart's National Provider Identifier is 1619208063, issued on Jan 25, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broken Arrow, OK. The record was last updated on Jan 25, 2010.