Individual
JUDY MAYHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 304-4348
Mailing address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 304-4348
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/17/2012
Last updated
06/07/2022
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