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Ms. TINA JEANETTE BANKS --

Individual Provider (NPI-1) Active

Counselor, Mental Health

Provider Information

NPI Number
1669626206
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
619 N MAIN ST, MUSKOGEE, OK, 744014431
Phone
(918) 682-8407
Fax
(918) 682-1480

Specialties & Taxonomies

Counselor, Mental Health Primary

All Addresses

MAILING

619 N MAIN ST

MUSKOGEE, OK, 744014431

(918) 682-8407

LOCATION

619 N MAIN ST

MUSKOGEE, OK, 744014431

(918) 682-8407