Individual
MRS. JUDI K UNTERKIRCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
Mailing address
RR 4 BOX 221A, OKEMAH, OK 74859-9358
(918) 623-0773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734620B
—
OK
05
—
100734620D
—
OK
Enumeration date
09/04/2009
Last updated
09/04/2009
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