MEDICARE: FRANK WASHINGTON MS

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

General Provider Information

NPI Number	:	1639496581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK WASHINGTON MS

Provider Business Mailing Address
First Line	:	16612 LA PALOMA LN
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73012-8998
Country	:	US
Telephone Number	:	405-204-2288
Fax Number	:

Provider Business Practice Location Address
First Line	:	14632 PONY RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-1705
Country	:	US
Telephone Number	:	405-204-2288
Fax Number	:

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

Provider Enumeration Date	:	04/30/2010
Last Update Date	:	03/18/2016

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Directions to “ FRANK WASHINGTON MS” Practice Location

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