Organization
MORNINGSTAR MENTAL HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS J MCKANE (ADMINISTRATIVE ASST.)
(918) 650-9500
Entity
Organization
Contact information
Practice address
1501 S SEMINOLE AVE, WEWOKA, OK 74884-3920
(803) 920-4902
Mailing address
1501 S SEMINOLE AVE, WEWOKA, OK 74884-3920
(803) 920-4902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3901
OK
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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