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Mitzy Kantor

Counselor, Addiction (Substance Use Disorder) in Claremore, OK. Individual provider (NPI-1).

NPI number1306256235
StatusActive
Last updated in NPPESApr 30, 2014

Details

NPI
1306256235
Entity type
Individual (NPI-1)
Name
Mitzy Kantor
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 30, 2014
Last updated
Apr 30, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

901 E 11th St
Claremore, OK 74017-6443

Phone 918-813-5304

Mailing address

901 E 11th St
Claremore, OK 74017-6443

Phone 918-813-5304

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Other Addiction (Substance Use Disorder) Counselor providers in Claremore, OK

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