Individual provider · NPI-1

Joe Mcdaniel

Clinic/Center, Mental Health (Including Community Mental Health Center) · Muskogee, OK

NPI number1205267010
StatusActive
Last updated in NPPESDec 3, 2013

Details

NPI
1205267010
Entity type
Individual (NPI-1)
Name
Joe Mcdaniel
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 3, 2013
Last updated
Dec 3, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)2003140308OKYes

Practice location

1700 W Broadway St
Muskogee, OK 74401-3340

Phone 918-207-9807

Mailing address

315 Ross Ave
Fort Gibson, OK 74434-8522

Phone 918-207-9807

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Muskogee, OK