Individual
FELICIA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 N CLASSEN BLVD, SUITE 249, OKLAHOMA CITY, OK 73118-4627
(580) 745-9610
Mailing address
PO BOX 48, MEAD, OK 73449-0048
(580) 745-9610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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