Individual provider · Type 1 NPI

Eddie Tittle

Mental Health Counselor · Glenpool, OK

NPI number 1851739189 Active

Practice location

14494 S Birch St
Glenpool, OK 74033-3531

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1851739189

Eddie Tittle's National Provider Identifier is 1851739189, issued on Jun 9, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glenpool, OK. The record was last updated on Jun 9, 2013.