Organization
MISTY WATKINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY WATKINS LPC (LICENSED PROFESSIONAL COUNSELOR)
(580) 284-8729
Entity
Organization
Contact information
Practice address
1010 S 7TH ST, CHICKASHA, OK 73018
(405) 825-1784
(580) 771-2012
Mailing address
6608 N WESTERN AVE # 1265, OKLAHOMA CITY, OK 73116-7326
(405) 825-1784
(580) 771-2012
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200709510A
—
OK
Enumeration date
10/14/2020
Last updated
01/10/2024
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