Individual provider · Type 1 NPI

Carmen Qualls, MACC, JD

Mental Health Counselor · Sapulpa, OK

NPI number 1659856078 Active

Practice location

23 E Ross Ave
Sapulpa, OK 74066-6423

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659856078

Carmen Qualls, MACC, JD's National Provider Identifier is 1659856078, issued on Oct 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sapulpa, OK. The record was last updated on Oct 2, 2018.