Individual provider · Type 1 NPI

Madison McKenzie Shoemaker, LPC-C

Mental Health Counselor · Tulsa, OK

NPI number 1619736402 Active

Practice location

1620 E 12th St
Tulsa, OK 74120-5407

Mailing address

1521 Boston St
Muskogee, OK 74401-6724

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X12074 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1619736402

Madison McKenzie Shoemaker, LPC-C's National Provider Identifier is 1619736402, issued on Mar 15, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Mar 15, 2024.