Individual
MYRA A. MABRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E WYANDOTTE AVE, MCALESTER, OK 74501-5464
(918) 420-5238
(918) 420-5717
Mailing address
RR 1 BOX 209, STUART, OK 74570-9536
(918) 424-1661
(918) 420-5717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
531
OK
101YM0800X
Mental Health Counselor
3348
OK
Other
Enumeration date
08/18/2006
Last updated
09/11/2025
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