Individual provider · Type 1 NPI
Marie Irene Loucks, MA
Mental Health Counselor · Broken Bow, OK
NPI number
1720840994
Active
Practice location
204 Main St
Broken Bow, OK 74728-3976
Mailing address
505 Quartz Rd
Haworth, OK 74740-5388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1720840994
Marie Irene Loucks, MA's National Provider Identifier is 1720840994, issued on Jan 24, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broken Bow, OK. The record was last updated on Jan 24, 2024.