Individual provider · Type 1 NPI

Andre Daughty

Mental Health Counselor · Oklahoma City, OK

NPI number 1639413156 Active

Practice location

4149 Highline Blvd, Suite 390,400
Oklahoma City, OK 73108-2103

Fax (405) 949-1063

Mailing address

PO Box 48
Mead, OK 73449-0048

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639413156

Andre Daughty's National Provider Identifier is 1639413156, issued on Nov 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Nov 21, 2012.