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Theodis Manning
Counselor in Midwest City, Oklahoma
NPI 1194071357

Theodis Manning is a Counselor based in Midwest City, OK. Theodis Manning practices in Midwest City, OK. The NPI Number for Theodis Manning is 1194071357 and holds a License No. (Oklahoma).

The current practice location address for Theodis Manning is 8320 Ne 10Th St, Midwest City, OK and can be reached out via phone at 405-761-3041. You can also correspond with Theodis Manning through the mailing address at 8320 NE 10TH ST, MIDWEST CITY, OK - 73110-7155 (mailing address contact number: ).

Location: 8320 Ne 10Th St, Midwest City, OK, 73110-7155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194071357
Provider Name
Theodis Manning
Credential
Provider Entity Type
Individual
Gender
Male
Address
8320 Ne 10Th St, Midwest City, OK, 73110-7155
Phone Number
405-761-3041
Fax Number
Provider Enumeration Date
07/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
392068921 01 OK PRIVATE AGENCY
institution
Provider Business Practice Location Address Details
Address
8320 Ne 10Th St
City
Midwest City
State
Oklahoma
Zip
73110-7155
Phone Number
405-761-3041
Fax Number
person
Provider Business Mailing Address Details
Address
8320 Ne 10Th St
City
Midwest City
State
Oklahoma
Zip
73110-7155
Phone Number
405-761-3041
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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