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Mrs. Allie Grantham, MHR,LPC,CADC
Counselor in Tahlequah, Oklahoma
NPI 1447388178

Allie Grantham is a Counselor based in Wagoner, OK. Allie Grantham practices in Tahlequah, OK and has the professional credentials of MHR,LPC,CADC. The NPI Number for Allie Grantham is 1447388178 and holds a License No. (Oklahoma).

The current practice location address for Allie Grantham is 529 N Oak Ave, Tahlequah, OK and can be reached out via phone at 918-444-2126 and via fax at 918-458-2300. You can also correspond with Allie Grantham through the mailing address at 31824 E 720 RD, WAGONER, OK - 74467-7374 (mailing address contact number: 918-485-9661).

Location: 529 N Oak Ave, Tahlequah, OK, 74467-7374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447388178
Provider Name
Allie Grantham
Credential
MHR,LPC,CADC
Provider Entity Type
Individual
Gender
Female
Address
529 N Oak Ave, Tahlequah, OK, 74467-7374
Phone Number
918-444-2126
Fax Number
918-458-2300
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
529 N Oak Ave
City
Tahlequah
State
Oklahoma
Zip
74464
Phone Number
918-444-2126
Fax Number
918-458-2300
person
Provider Business Mailing Address Details
Address
31824 E 720 Rd
City
Wagoner
State
Oklahoma
Zip
74467-7374
Phone Number
918-485-9661
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6374 (Oklahoma)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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