Mr. Tommy Pack
Mr. Tommy Pack is a Mental Health Counselor in Tahlequah, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2012
Practice location Address checks out
15526 N Bryant RdTahlequah, OK 74464-0201
Phone: (918) 457-6129
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (OK) |
|---|
Record details
| NPI number | 1124399282 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 21, 2012 |
| Last updated in NPPES | January 21, 2012 |
| Mailing address | 15526 N Bryant Rd, Tahlequah, OK 74464-0201 |
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