Colleen Matlock, LPC CANDIDATE

NPI #1598178972 in Bristow, Oklahoma

Provider Information

NPI Number: 1598178972
Entity Type: Individual
Name: Colleen Matlock, LPC CANDIDATE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC CANDIDATE
Enumeration Date: Jun 3, 2014
Last Updated: Jun 4, 2019

Practice Location

Address: 123 W 6TH AVE
City: Bristow
State: Oklahoma
ZIP Code: 74010-2801
Phone: (918) 510-7412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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