Martin, Nakisha

Martin, Nakisha is an individual health care provider with primary practice located at 1803 S Wood Dr , Okmulgee OK 74447-6825. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Martin, Nakisha can be contacted via phone (405) 458-9256.

Contact Information

Primary practice address
1803 S Wood Dr Okmulgee OK 74447-6825
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 10089 Oklahoma

Profile Details

NPI number 1154774016
LBN Legal business name Martin, Nakisha
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2016
Last updated Sep 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154774016 NPPES
Oklahoma MEDICAID 10089

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