| Kathy L. Davies Lpc Pllc | |
|
1301 S Broadway Ave Poteau OK 74953-5206 | |
| (918) 658-5272 | |
| (918) 658-5272 |
| Full Name | Kathy L. Davies Lpc Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1301 S Broadway Ave, Poteau, Oklahoma |
| Authorized Official Name and Position | Kathy L Davies (LPC) |
| Authorized Official Contact | 9186585272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy L. Davies Lpc Pllc 33170 Pleasant Valley Rd Poteau OK 74953-7868 Ph: (918) 658-5272 | Kathy L. Davies Lpc Pllc 1301 S Broadway Ave Poteau OK 74953-5206 Ph: (918) 658-5272 |
| NPI Number | 1669987897 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669987897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 5767 (Oklahoma) | Primary |
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