MRS. Tawanda Mae Northcutt, LPC CANDIDATE

NPI #1750610614 in Wynnewood, Oklahoma

Provider Information

NPI Number: 1750610614
Entity Type: Individual
Name: MRS. Tawanda Mae Northcutt, LPC CANDIDATE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC CANDIDATE
Enumeration Date: Dec 23, 2009
Last Updated: Dec 23, 2009

Practice Location

Address: 202 S WASHITA AVE
City: Wynnewood
State: Oklahoma
ZIP Code: 73098-7820
Phone: (405) 665-4385

Specialties & Taxonomy Codes

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

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