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John Phillip Stone Scoggin
Mental Health Counselor in Idabel, Oklahoma
NPI 1922440999

John Phillip Stone Scoggin is a Mental Health Counselor based in Idabel, OK and is specialized in Mental Health. John Phillip Stone Scoggin practices in Idabel, OK. The NPI Number for John Phillip Stone Scoggin is 1922440999 and holds a License No. (Oklahoma).

The current practice location address for John Phillip Stone Scoggin is 111 Canterbury Lane, Idabel, OK and can be reached out via phone at 918-237-8612.

Location: 111 Canterbury Lane, Idabel, OK, 74745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922440999
Provider Name
John Phillip Stone Scoggin
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 Canterbury Lane, Idabel, OK, 74745
Phone Number
918-237-8612
Fax Number
Provider Enumeration Date
07/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
STONE1010 05 OK
institution
Provider Business Practice Location Address Details
Address
111 Canterbury Lane
City
Idabel
State
Oklahoma
Zip
74745
Phone Number
918-237-8612
Fax Number
person
Provider Business Mailing Address Details
Address
111 Canterbury Lane
City
Idabel
State
Oklahoma
Zip
74745
Phone Number
918-237-8612
Fax Number
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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