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NPI Code Detail

MEDICARE: ANNALICIA MONA FELICIEN LADC-MH, LPC

MEDICARE: ANNALICIA MONA FELICIEN LADC-MH, 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
1101YA0400XAddiction (Substance Use Disorder) CounselorOK
2101Y00000XCounselorOK

General Provider Information

NPI Number : 1821920869
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNALICIA MONA FELICIEN LADC-MH, LPC
Provider Business Mailing Address
First Line : 2325 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-3301
Country : US
Telephone Number : 918-712-4301
Fax Number :
Provider Business Practice Location Address
First Line : 2325 S HARVARD AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-3301
Country : US
Telephone Number : 918-712-4301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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