Individual
MICKY RENEE UNRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2129 SW 59TH ST, OKLAHOMA CITY, OK 73119-7024
(405) 772-4168
Mailing address
2129 SW 59TH ST, OKLAHOMA CITY, OK 73119-7024
(405) 772-4168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3528
OK
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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