Individual
RACHEL CALLICOAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
622 BRYAN DR, DURANT, OK 74701-3462
(580) 745-4049
Mailing address
553 B S CARR PEN RD, ATOKA, OK 74525
(580) 745-4049
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6787
OK
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/21/2016
Last updated
04/19/2018
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