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NPI Code Detail

MEDICARE: MR. W OTHEL RHODES LPC

MEDICARE:  MR. W OTHEL RHODES  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
1101Y00000XCounselor2187OK

General Provider Information

NPI Number : 1538101449
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. W OTHEL RHODES LPC
Provider Business Mailing Address
First Line : 10605 S MILLER AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170-2437
Country : US
Telephone Number : 405-517-1517
Fax Number :
Provider Business Practice Location Address
First Line : 1025 STRAKA TER
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-2544
Country : US
Telephone Number : 405-632-6688
Fax Number : 405-604-0923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 07/08/2007

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Directions to “ MR. W OTHEL RHODES LPC” Practice Location

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