Individual
MARIAH BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5208 W RENO AVE, OKLAHOMA CITY, OK 73127-6344
(405) 948-4900
(405) 948-4933
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4933
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OK
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
11170
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/21/2019
Last updated
09/17/2024
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