Individual
ADDISON FAITH MCCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 KICKAPOO ST, SHAWNEE, OK 74804
(405) 585-4530
Mailing address
14337 PEACH TREE DR, YUKON, OK 73099-8891
(405) 760-6996
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
OK
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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