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Individual

ADAM O'DANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
PO BOX 1069, TAHLEQUAH, OK 74465-1069
(539) 234-3578

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4123
OK

Other

Enumeration date
03/08/2007
Last updated
09/05/2024
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