Individual
KATEZ MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1701 N CYPRESS AVE, BROKEN ARROW, OK 74012-1320
(918) 286-0851
Mailing address
1701 N CYPRESS AVE, BROKEN ARROW, OK 74012-1320
(918) 286-0851
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5744
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
07/08/2015
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