Micah Delene Foraker

NPI #1043798721 in Comanche, Oklahoma

Provider Information

NPI Number
1043798721
Entity Type
Individual
Name
Micah Delene Foraker
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Aug 3, 2018
Last Updated
Aug 3, 2018

Practice Location

Address
278871 E 1840 RD
ZIP Code
73529-4042
Phone
(580) 467-3173

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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