Individual
MADISON MCKENZIE SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 588-8888
Mailing address
1521 BOSTON ST, MUSKOGEE, OK 74401-6724
(918) 360-6921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12074
OK
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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