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Nicole Idleman
Mental Health Counselor in Madill, Oklahoma
NPI 1376838086

Nicole Idleman is a Mental Health Counselor based in Wilson, OK and is specialized in Mental Health. Nicole Idleman practices in Madill, OK. The NPI Number for Nicole Idleman is 1376838086 and holds a License No. (Oklahoma).

The current practice location address for Nicole Idleman is 109 South 1St, Madill, OK and can be reached out via phone at 580-795-3731 and via fax at 580-795-3170.

Location: 109 South 1St, Madill, OK, 73463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376838086
Provider Name
Nicole Idleman
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 South 1St, Madill, OK, 73463
Phone Number
580-795-3731
Fax Number
580-795-3170
Provider Enumeration Date
06/10/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200049040 05 OK
institution
Provider Business Practice Location Address Details
Address
109 South 1St
City
Madill
State
Oklahoma
Zip
73446
Phone Number
580-795-3731
Fax Number
580-795-3170
person
Provider Business Mailing Address Details
Address
109 South 1St
City
Madill
State
Oklahoma
Zip
73446
Phone Number
580-795-3731
Fax Number
580-795-3170
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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