| Mr Micah Grant Lane, BA | |
|
212 W Evergreen St, Durant, OK 74701-4710 | |
| (580) 931-9901 | |
| (580) 931-9953 |
| Full Name | Mr Micah Grant Lane |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 212 W Evergreen St, Durant, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811214083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Micah Grant Lane, BA 212 W Evergreen St, Durant, OK 74701-4710 Ph: (580) 931-9901 | Mr Micah Grant Lane, BA 212 W Evergreen St, Durant, OK 74701-4710 Ph: (580) 931-9901 |
Melissa Holaday, LBP Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 N 1st Ave, Durant, OK 74701 Phone: 580-931-3008 Fax: 580-931-8022 | |
Mr. Preston John Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 | |
Natasha Tom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N 3rd Ave, Durant, OK 74701 Phone: 580-931-3008 Fax: 580-931-8022 | |
David Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 West Main St, Durant, OK 74701 Phone: 580-924-7330 | |
Daniel Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 N 12th Ave, Durant, OK 74701 Phone: 580-924-6363 | |
Mrs. Christine Lynn Cragar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 | |
Kristi Lynn Burkhalter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 |