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NPI Code Detail

MEDICARE: HALLIE MSONGAMWANJA LPC

MEDICARE: HALLIE MSONGAMWANJA LPC
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
1101Y00000XCounselor6146OK

General Provider Information

NPI Number : 1316364789
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALLIE MSONGAMWANJA LPC
Provider Business Mailing Address
First Line : 6506 S LEWIS AVE STE 105
Second Line :
City : TULSA
State : OK
Zip : 74136-1020
Country : US
Telephone Number : 918-212-4799
Fax Number :
Provider Business Practice Location Address
First Line : 6506 S LEWIS AVE STE 105
Second Line :
City : TULSA
State : OK
Zip : 74136-1020
Country : US
Telephone Number : 918-212-4799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2014
Last Update Date : 05/06/2026

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Directions to “ HALLIE MSONGAMWANJA LPC” Practice Location

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