Individual
MRS. MISTY MICHELLE DOUTHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
1127 N KICKAPOO AVE, SHAWNEE, OK 74801-4845
(405) 214-0116
Mailing address
12411 LEMON LN, SEMINOLE, OK 74868-9405
(405) 584-0485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4943
OK
Other
Enumeration date
07/13/2010
Last updated
04/24/2017
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