Doctor Name: | MICHELE LENA WARD |
NPI Number: | 1063643559 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ME, LPC |
License Number: | 4201 |
Business Practice Address: | 34183 Country Club Ln Poteau, OK - 749539122 |
Business Phone Number: | 9186497641 |
Business Fax Number: | 9186472926 |
Mailing Address: | 34183 Country Club Ln, POTEAU |
State: | OK |
Postal Code: | 749539122 |
Phone Number: | 9186497641 |
Fax Number: | 9186472926 |
NPI Enumeration Date: | 07/31/2009 |
NPI Last Update Date: | 07/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |