Individual
DANETTE MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 858-2700
Mailing address
1129 WESTCHESTER DR, OKLAHOMA CITY, OK 73114-1619
(405) 840-5278
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10
—
OK
Enumeration date
07/15/2010
Last updated
07/15/2010
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