MEDICARE: MICHELLE WHITEMAN

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	101YP2500X	Professional Counselor	5039	OK

General Provider Information

NPI Number	:	1982085882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE WHITEMAN

Provider Business Mailing Address
First Line	:	400 SE FRANK PHILLIPS BLVD
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74003-3644
Country	:	US
Telephone Number	:	918-333-3136
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 SE FRANK PHILLIPS BLVD
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74003-3644
Country	:	US
Telephone Number	:	918-333-3136
Fax Number	:

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

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	12/18/2025

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Directions to “ MICHELLE WHITEMAN ” Practice Location

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