John Daniel Neal

Individual provider Active NPI Mental Health Counselor · Stroud, OK

NPI 1073030243 · NPPES record last updated Aug 28, 2017

Key facts

NPI
1073030243
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
501 N 1St Ave
Stroud, OK 74079-3446
Phone
(405) 615-8869
NPI assigned
Aug 28, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

501 N 1St Ave
Stroud, OK 74079-3446

Mailing address

323 W 6TH St
Okmulgee, OK 74447-5019

Other providers in Stroud, OK

All providers in Stroud, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.