Individual
MISTY TAFAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4149 HIGHLINE BLVD STE 380, OKLAHOMA CITY, OK 73108-2076
(405) 942-7650
Mailing address
4149 HIGHLINE BLVD STE 380, OKLAHOMA CITY, OK 73108-2076
(405) 942-7650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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