Willingham, Magan Marie

Willingham, Magan Marie is an sole proprietor health care provider with primary practice located at 2100 Se Washington St , Idabel OK 74745-5449. She recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as her primary health care specialty. Willingham, Magan Marie can be contacted via phone (580) 298-5062.

Contact Information

Primary practice address
2100 Se Washington St Idabel OK 74745-5449
Phone: (580) 298-5062
Fax: (580) 298-9958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1235417643
LBN Legal business name Willingham, Magan Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2011
Last updated Feb 20th, 2019 - about 7 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 1235417643 NPPES
Oklahoma MEDICAID 200049040

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