Individual
COURTNEY JOSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 S OKMULGEE AVE, OKMULGEE, OK 74447-4926
(918) 752-8417
Mailing address
428 S OKMULGEE AVE, OKMULGEE, OK 74447-4926
(918) 752-8417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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