Misty Foutch, MA, BHCM II

NPI #1568838597 in Wagoner, Oklahoma

Provider Information

NPI Number: 1568838597
Entity Type: Individual
Name: Misty Foutch, MA, BHCM II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MA, BHCM II
Enumeration Date: Aug 13, 2015
Last Updated: Oct 22, 2018

Practice Location

Address: 26243 HIGHWAY 51
City: Wagoner
State: Oklahoma
ZIP Code: 74467-8740
Phone: (918) 614-0778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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