Toni Michelle McMullen, LPC-C
Counselor, Mental Health in Broken Arrow, OK. Individual provider (NPI-1).
NPI number1407613698
StatusActive
Last updated in NPPESMar 4, 2024
Details
- NPI
- 1407613698
- Entity type
- Individual (NPI-1)
- Name
- Toni Michelle McMullen
- Credential
- LPC-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2024
- Certification date
- Mar 4, 2024
- Last updated
- Mar 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
504 W Atlanta StBroken Arrow, OK 74012-7004
Phone 918-615-6620
Mailing address
504 W Atlanta StBroken Arrow, OK 74012-7004
Phone 918-615-6620
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