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Mr. Joseph Robert Eatherly, LPC
Counselor in Tishomingo, Oklahoma
NPI 1720303134

Joseph Robert Eatherly is a Counselor based in Stratford, OK. Joseph Robert Eatherly practices in Tishomingo, OK and has the professional credentials of LPC. The NPI Number for Joseph Robert Eatherly is 1720303134 and holds a License No. 5004 (Oklahoma).

The current practice location address for Joseph Robert Eatherly is 108 W Main St, Tishomingo, OK and can be reached out via phone at 580-371-3019 and via fax at 580-371-0138.

Location: 108 W Main St, Tishomingo, OK, 74872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720303134
Provider Name
Joseph Robert Eatherly
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
108 W Main St, Tishomingo, OK, 74872
Phone Number
580-371-3019
Fax Number
580-371-0138
Provider Enumeration Date
03/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 W Main St
City
Tishomingo
State
Oklahoma
Zip
73460-1723
Phone Number
580-371-3019
Fax Number
580-371-0138
person
Provider Business Mailing Address Details
Address
108 W Main St
City
Tishomingo
State
Oklahoma
Zip
73460-1723
Phone Number
580-371-3019
Fax Number
580-371-0138
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
5004 (Oklahoma)
Definition
Definition to come...
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