Individual
LAKEISHA MCMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 NE 50TH ST, OKLAHOMA CITY, OK 73111-6801
(405) 532-1133
Mailing address
1519 NE 50TH ST, OKLAHOMA CITY, OK 73111
(405) 532-1133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
305218
OK
Other
Enumeration date
02/26/2014
Last updated
09/22/2014
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