Individual
MICHAEL STEVEN BACKORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 W. MAIN ST., BARNSDALL, OK 74002-6631
(918) 604-6054
(918) 777-9018
Mailing address
401 W. MAIN ST., BARNSDALL, OK 74002-6631
(918) 604-6054
(918) 777-9018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
08/07/2020
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