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Organization

MADISON MILLS, LPC, NCC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MADISON MILLS LPC, NCC (OWNER)
(405) 209-7954
Entity
Organization

Contact information

Practice address
12444 NW 10TH ST STE 202, YUKON, OK 73099-5845
(405) 209-7954
Mailing address
12444 NW 10TH ST STE 202, YUKON, OK 73099-5845
(405) 209-7954

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/24/2022
Last updated
02/24/2022
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