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NPI Code Detail

MEDICARE: MORLA E. THOMPSON LPC CANDIDATE, NCC

MEDICARE: MORLA E. THOMPSON LPC CANDIDATE, NCC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1649526948
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORLA E. THOMPSON LPC CANDIDATE, NCC
Provider Business Mailing Address
First Line : 8205 S COLLEGE PL
Second Line :
City : TULSA
State : OK
Zip : 74137-1323
Country : US
Telephone Number : 918-853-1158
Fax Number :
Provider Business Practice Location Address
First Line : 6216 S LEWIS AVE STE 102
Second Line :
City : TULSA
State : OK
Zip : 74136-1075
Country : US
Telephone Number : 918-960-7852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2012
Last Update Date : 07/21/2022

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