person
Rachiel Ann Ennis, LPCUNDERSUPERVISION
Mental Health Clinic/Center (Including Community Mental Health Center) in Mcalester, Oklahoma
NPI 1780915207

Rachiel Ann Ennis is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Mcalester, OK and is specialized in Mental Health (Including Community Mental Health Center). Rachiel Ann Ennis practices in Mcalester, OK and has the professional credentials of LPCUNDERSUPERVISION. The NPI Number for Rachiel Ann Ennis is 1780915207 and holds a License No. (Oklahoma).

The current practice location address for Rachiel Ann Ennis is 721 S George Nigh Expy, Mcalester, OK and can be reached out via phone at 918-470-7069 and via fax at 918-302-0405. You can also correspond with Rachiel Ann Ennis through the mailing address at 721 S GEORGE NIGH EXPY, MCALESTER, OK - 74501-7400 (mailing address contact number: 918-470-7069).

Location: 721 S George Nigh Expy, Mcalester, OK, 74501-7400
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Provider Profile Details
NPI Number
1780915207
Provider Name
Rachiel Ann Ennis
Credential
LPCUNDERSUPERVISION
Provider Entity Type
Individual
Gender
Female
Address
721 S George Nigh Expy, Mcalester, OK, 74501-7400
Phone Number
918-470-7069
Fax Number
918-302-0405
Provider Enumeration Date
01/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100746580A 05 OK
institution
Provider Business Practice Location Address Details
Address
721 S George Nigh Expy
City
State
Zip
74501-7400
Phone Number
918-470-7069
Fax Number
918-302-0405
person
Provider Business Mailing Address Details
Address
721 S George Nigh Expy
City
State
Zip
74501-7400
Phone Number
918-470-7069
Fax Number
918-302-0405
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.
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Definition
Definition to come...
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