person
Magan Marie Willingham, LPC
Mental Health Clinic/Center (Including Community Mental Health Center) in Idabel, Oklahoma
NPI 1235417643

Magan Marie Willingham is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Broken Bow, OK and is specialized in Mental Health (Including Community Mental Health Center). Magan Marie Willingham practices in Idabel, OK and has the professional credentials of LPC. The NPI Number for Magan Marie Willingham is 1235417643 and holds a License No. (Oklahoma).

The current practice location address for Magan Marie Willingham is 2100 Se Washington St, Idabel, OK and can be reached out via phone at 580-298-5062 and via fax at 580-298-9958.

Location: 2100 Se Washington St, Idabel, OK, 74728-5950
person
Provider Profile Details
NPI Number
1235417643
Provider Name
Magan Marie Willingham
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2100 Se Washington St, Idabel, OK, 74728-5950
Phone Number
580-298-5062
Fax Number
580-298-9958
Provider Enumeration Date
08/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200049040 05 OK
institution
Provider Business Practice Location Address Details
Address
2100 Se Washington St
City
State
Zip
74745-5449
Phone Number
580-298-5062
Fax Number
580-298-9958
person
Provider Business Mailing Address Details
Address
2100 Se Washington St
City
State
Zip
74745-5449
Phone Number
580-298-5062
Fax Number
580-298-9958
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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