Individual
ASHLEY N CANOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 E ALLEN RD APT 4, TAHLEQUAH, OK 74464-2250
(918) 718-9306
Mailing address
1332 E ALLEN RD APT 4, TAHLEQUAH, OK 74464-2250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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