Individual provider · Type 1 NPI

Mary Lou King

Mental Health Counselor · Pryor, OK

NPI number 1699057562 Active

Practice location

109 N Fairland St
Pryor, OK 74361-4203

Fax (918) 825-1406

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699057562

Mary Lou King's National Provider Identifier is 1699057562, issued on Sep 15, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pryor, OK. The record was last updated on Jun 26, 2019.