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Individual

HELEN PEARL NASHOBA MALANTA NIMSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
265 WICHITA DR, ANADARKO, OK 73005-3705
(405) 933-0043
Mailing address
265 WICHITA DR, ANADARKO, OK 73005-3705
(405) 933-0043

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10184
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10184
OKLAHOMA STATE BOARD OF BEHAVIORAL HEALTH
OK
Enumeration date
03/26/2021
Last updated
06/07/2024
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