MEDICARE: MRS. MARLENE SOSA-CUEVAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPCCANDIDATE13453	OK

General Provider Information

NPI Number	:	1326746082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARLENE SOSA-CUEVAS

Provider Business Mailing Address
First Line	:	3224 SE 54TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-1444
Country	:	US
Telephone Number	:	209-321-2985
Fax Number	:

Provider Business Practice Location Address
First Line	:	3224 SE 54TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-1444
Country	:	US
Telephone Number	:	209-321-2985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	06/17/2026

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