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NPI Code Detail

MEDICARE: MS. TAIS HELENA FERRERA MS

MEDICARE: MS. TAIS HELENA FERRERA 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1689787681
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAIS HELENA FERRERA MS
Provider Business Mailing Address
First Line : 1722 DENIM LN
Second Line :
City : ENID
State : OK
Zip : 73703-1614
Country : US
Telephone Number : 580-242-5544
Fax Number : 580-233-8905
Provider Business Practice Location Address
First Line : 230 W MAPLE AVE
Second Line :
City : ENID
State : OK
Zip : 73701-4012
Country : US
Telephone Number : 580-242-5544
Fax Number : 580-233-8905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 07/08/2007

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