Individual
MCKENZIE GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 S MURPHY ST APT 2205, STILLWATER, OK 74074-1588
(405) 249-8195
Mailing address
416 S LEWIS ST, STILLWATER, OK 74074-3517
(405) 564-4248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N083386971
LICENSE
OK
Enumeration date
05/29/2018
Last updated
05/29/2018
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