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Micah Delene Foraker
Mental Health Counselor in Comanche, Oklahoma
NPI 1043798721

Micah Delene Foraker is a Mental Health Counselor based in Comanche, OK and is specialized in Mental Health. Micah Delene Foraker practices in Comanche, OK. The NPI Number for Micah Delene Foraker is 1043798721 and holds a License No. (Oklahoma).

The current practice location address for Micah Delene Foraker is 278871 E 1840 Rd, Comanche, OK and can be reached out via phone at 580-467-3173.

Location: 278871 E 1840 Rd, Comanche, OK, 73529-4042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043798721
Provider Name
Micah Delene Foraker
Credential
Provider Entity Type
Individual
Gender
Female
Address
278871 E 1840 Rd, Comanche, OK, 73529-4042
Phone Number
580-467-3173
Fax Number
Provider Enumeration Date
08/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
278871 E 1840 Rd
City
Comanche
State
Oklahoma
Zip
73529-4042
Phone Number
580-467-3173
Fax Number
person
Provider Business Mailing Address Details
Address
278871 E 1840 Rd
City
Comanche
State
Oklahoma
Zip
73529-4042
Phone Number
580-467-3173
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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