Individual
BRITTANI NICOLE HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2557 S CRESTVIEW RD, ATOKA, OK 74525-6337
(918) 302-8422
Mailing address
186 W COURT ST, ATOKA, OK 74525-1822
(918) 470-5566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2019
Last updated
03/05/2024
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