person
Lisa D Tidwell-mckay, MS,CADC,LPC-S
Mental Health Counselor in Tahlequah, Oklahoma
NPI 1629375761

Lisa D Tidwell-mckay is a Mental Health Counselor based in Muskogee, OK and is specialized in Mental Health. Lisa D Tidwell-mckay practices in Tahlequah, OK and has the professional credentials of MS,CADC,LPC-S. The NPI Number for Lisa D Tidwell-mckay is 1629375761 and holds a License No. 412 (Oklahoma).

The current practice location address for Lisa D Tidwell-mckay is 19600 E Ross St, Tahlequah, OK and can be reached out via phone at 539-234-3555 and via fax at 539-234-3501.

Location: 19600 E Ross St, Tahlequah, OK, 74403
person
Provider Profile Details
NPI Number
1629375761
Provider Name
Lisa D Tidwell-mckay
Credential
MS,CADC,LPC-S
Provider Entity Type
Individual
Gender
Female
Address
19600 E Ross St, Tahlequah, OK, 74403
Phone Number
539-234-3555
Fax Number
539-234-3501
Provider Enumeration Date
02/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19600 E Ross St
City
State
Zip
74464-0545
Phone Number
539-234-3555
Fax Number
539-234-3501
person
Provider Business Mailing Address Details
Address
19600 E Ross St
City
State
Zip
74464-0545
Phone Number
539-234-3555
Fax Number
539-234-3501
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5739 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
412 (Oklahoma)
Definition
Definition to come...
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