Maurisa Mahan, LPC
Counselor, Mental Health in Altus, OK. Individual provider (NPI-1).
NPI number1730867409
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1730867409
- Entity type
- Individual (NPI-1)
- Name
- Maurisa Mahan
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2023
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LPC02548 | OK | Yes |
Practice location
2408 Pawnee AveAltus, OK 73521-1520
Phone 580-301-4709
Mailing address
2408 Pawnee AveAltus, OK 73521-1520
Phone 580-301-4709
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