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Organization

MAATI RA COUNSELING SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAXINE D MCKOY M.S., LPC, LADC (EXECUTIVE DIRECTOR/OP THERAPIST)
(918) 951-5727
Entity
Organization

Contact information

Practice address
6539 E 31ST ST, STE 4B, TULSA, OK 74145-1242
(918) 392-4965
(918) 392-4966
Mailing address
6539 E 31ST ST, STE 4B, TULSA, OK 74145-1242
(918) 392-4965
(918) 392-4966

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/25/2013
Last updated
01/25/2013
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