Doctor Name: | MRS. THOMASINE L. FIFE |
NPI Number: | 1023244944 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC |
License Number: | |
Business Practice Address: | 100 W 7th St Ste 102 Okmulgee, OK - 744475007 |
Business Phone Number: | 9187581930 |
Business Fax Number: | |
Mailing Address: | 100 W 7th St Ste 102, OKMULGEE |
State: | OK |
Postal Code: | 744475007 |
Phone Number: | 9187581930 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2009 |
NPI Last Update Date: | 06/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |