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NPI Code Detail

MEDICARE: CHELSA HUNTER LBP

MEDICARE: CHELSA HUNTER LBP
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
1101YP2500XProfessional Counselor10161OK

General Provider Information

NPI Number : 1952063695
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSA HUNTER LBP
Provider Business Mailing Address
First Line : 58150 E 66 RD
Second Line :
City : MIAMI
State : OK
Zip : 74354-6509
Country : US
Telephone Number : 918-542-1786
Fax Number : 918-238-3331
Provider Business Practice Location Address
First Line : 58150 E 66 RD
Second Line :
City : MIAMI
State : OK
Zip : 74354-6509
Country : US
Telephone Number : 918-542-1786
Fax Number : 918-238-3331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2021
Last Update Date : 10/11/2021

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Directions to “ CHELSA HUNTER LBP” Practice Location

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