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NPI Code Detail

MEDICARE: MS. DENISHA MCCARTER

MEDICARE: MS. DENISHA MCCARTER
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1851828057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DENISHA MCCARTER
Provider Business Mailing Address
First Line : 1301 W AUSTIN PL
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74011-3048
Country : US
Telephone Number : 972-302-2979
Fax Number :
Provider Business Practice Location Address
First Line : 6216 S LEWIS AVE STE 102
Second Line :
City : TULSA
State : OK
Zip : 74136-1075
Country : US
Telephone Number : 918-960-7852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2017
Last Update Date : 05/18/2017

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Directions to “ MS. DENISHA MCCARTER ” Practice Location

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