Individual provider · Type 1 NPI

Lucretia Fay McDonald

Addiction (Substance Use Disorder) Counselor · Idabel, OK

NPI number 1699054841 Active

Practice location

104 NE Ave A
Idabel, OK 74745-3813

Fax (580) 286-6385

Mailing address

RR 2 Box 229-1
Idabel, OK 74745-9427

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1699054841

Lucretia Fay McDonald's National Provider Identifier is 1699054841, issued on Aug 5, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Idabel, OK. The record was last updated on Aug 5, 2011.